Andrea Cauthen Bussey, RPH, PHARMD, CGP
Individual provider Active NPI Geriatric Pharmacist · North Augusta, SC
NPI 1356344873 · NPPES record last updated Mar 24, 2008
Key facts
- NPI
- 1356344873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Pharmacist 1835G0303X
- License
- 007458 (SC)
- Practice address
- 515 Creighton Dr
North Augusta, SC 29860-9301 - Phone
- (803) 202-1106
- NPI assigned
- May 30, 2005
- 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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016972 | GA | MD | Pharmacist |
| 007458 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 007458 | SC | Yes |
| Geriatric Pharmacist | 1835G0303X | 016972 | GA | |
| Pharmacist | 183500000X | 016972 | GA | |
| Pharmacist | 183500000X | 007458 | SC |
Addresses
Primary practice location
515 Creighton Dr
North Augusta, SC 29860-9301
Mailing address
PO Box 6416
North Augusta, SC 29861-6416
Phone (803) 202-1106
Other providers in North Augusta, SC
- Michelle Bunch
- Shaun Buning
- Lynn Louise Burke Reyes
- Angelia Burley
- Toneisha N Bush
- Amanda Byers
- Erin Holley Caines
- Linsey Caines
- Hartford Campbell Jr.
- Trechia D Canady
All providers in North Augusta, SC · Geriatric 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 24, 2008. 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.