Emily Addicks
Individual provider Active NPI Pharmacist · Summerville, SC
NPI 1326465865 · NPPES record last updated Mar 21, 2014
Key facts
- NPI
- 1326465865
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21700 (MD)
- Practice address
- 301 N Main St
Summerville, SC 29483-6417 - Phone
- (843) 871-0310
- NPI assigned
- Mar 21, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35406 | SC | MD | Pharmacist |
| 21700 | MD | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35406 | SC | |
| Pharmacist | 183500000X | 21700 | MD | Yes |
Addresses
Primary practice location
301 N Main St
Summerville, SC 29483-6417
Mailing address
301 N Main St
Summerville, SC 29483-6417
Other providers in Summerville, SC
- Jennifer Anne Adair
- Carla Adams
- Leif Martin Adams
- Stephanie Baker Adams
- Tera Adams
- Durga Dhoj Adhikari
- Amy Adler
- Buenaventura III Adriano
- Advanced Dental Center of Summerville, P.a.
- Advanced Medical Associates of Summerville
All providers in Summerville, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.