Active NPI
Shamoon Spells
- Pharmacist
- Moncks Corner, SC
National Provider Identifier
1285227710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42831
- Practice address
- 135 Ancestry LN
Moncks Corner, SC 29461-6723 - Phone
- (843) 532-7156
- NPI assigned
- Feb 16, 2021
- Last updated
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42831 | SC | Primary |
Addresses
Primary practice location
135 Ancestry LN
Moncks Corner, SC 29461-6723
Mailing address
135 Ancestry LN
Moncks Corner, SC 29461-6723
Phone (843) 532-7156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42831 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1285227710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 ANCESTRY LN",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294616723",
"telephone_number": "843-532-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 ANCESTRY LN",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294616723",
"telephone_number": "843-532-7156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPELLS",
"first_name": "SHAMOON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
- Sons and Daughters of Light LLC
- Jacob Sooter
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #03834)
- South Carolina Dept of Mental Health Accounting Office (Berkeley Community Mental Health Center)
- South Carolina Diagnostic Imaging, Inc. (Tricounty Radiology Moncks Corner)
- Vicky Sue Stahl, LPC
- Lydia Stallings
- George Pericles Stamatiades III, DMD
- Megan Eustace Starkweather, MSN, FNP-C
- Erin E Starnes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.