Individual provider Active NPI

Candace Cromer Frick, PHARMD

  • Pharmacist
  • Newberry, SC
National Provider Identifier
1346282910
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
009697 Issued in SC
Practice address
1310 Wilson Rd
Newberry, SC 29108-3048
Phone
(803) 276-0990
Fax
(803) 276-4276
NPI assigned
Jun 11, 2006
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 009697 SC Primary

Addresses

Primary practice location

1310 Wilson Rd
Newberry, SC 29108-3048

Mailing address

15 Edgewater CT
Prosperity, SC 29127-9340
Phone (803) 364-3295

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
009697SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cromer Medical Services Inc CurrentSince Apr 20, 2021 Accepting new patients

Locations

1310 Wilson Rd
Newberry, SC 29108
Phone (803) 276-0990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1346282910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EDGEWATER CT",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291279340",
            "telephone_number": "803-364-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WILSON RD",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291083048",
            "telephone_number": "803-276-0990",
            "fax_number": "803-276-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICK",
        "first_name": "CANDACE",
        "middle_name": "CROMER",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "009697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.