NPIMap

Organization Active NPI

Civic Medication Management Services LLC

  • Pharmacist
  • North Charleston, SC
National Provider Identifier
1295095487
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
LIC-1-13-89601 Issued in SC
Legal business name
CIVIC MEDICATION MANAGEMENT SERVICES LLC
Practice address
8471 Yadkin Cir Apt H
North Charleston, SC 29406-9544
Phone
(843) 830-8702
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa Monique Burks, PHARM DNPI 1063772358
Title
Pharmacist
Phone
(843) 830-8702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X LIC-1-13-89601 SC Primary

Addresses

Primary practice location

8471 Yadkin Cir Apt H
North Charleston, SC 29406-9544

Mailing address

PO Box 61934
North Charleston, SC 29419-1934
Phone (843) 830-8702

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1295095487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61934",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294191934",
            "telephone_number": "843-830-8702",
            "fax_number": "843-824-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8471 YADKIN CIR APT H",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069544",
            "telephone_number": "843-830-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVIC MEDICATION MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "843-830-8702",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "LIC-1-13-89601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.