Active NPI
Ashley Victoria Mack, PHARMD
- Pharmacist
- Holly Hill, SC
National Provider Identifier
1316342017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35845
- Practice address
- 8523 Old State Rd
Holly Hill, SC 29059 - Phone
- (803) 496-3954
- NPI assigned
- Oct 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35845 | SC | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35845 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8523 Old State Rd
Holly Hill, SC 29059
Mailing address
2040 Ashley River Rd
Apt 907
Charleston, SC 29407-4715
Phone (803) 968-7978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 24, 2014.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1316342017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 ASHLEY RIVER RD",
"address_2": "APT 907",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074715",
"telephone_number": "803-968-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8523 OLD STATE RD",
"city": "HOLLY HILL",
"state": "SC",
"postal_code": "29059",
"telephone_number": "803-496-3954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "ASHLEY",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "35845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.