Active NPI
Crystal McDuffie, PHARMD
- Pharmacist
- Chester, SC
National Provider Identifier
1356757306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35388
- Practice address
- 1691 J a Cochran Byp
Chester, SC 29706-2204 - Phone
- (803) 581-3096
- NPI assigned
- Jul 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35388 | SC | Primary |
| Pharmacist | 183500000X | 23758 | NC |
Addresses
Primary practice location
1691 J a Cochran Byp
Chester, SC 29706-2204
Mailing address
255 Sedgewick Dr
#104
Fort Mill, SC 29708-8115
Phone (228) 343-5241
Other names 1
- Crystal Coleman
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23758 | NC | MD | Pharmacist |
| 35388 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Wal-Mart Pharmacy 10-1603
- Community/Retail Pharmacy
- Chester, SC
- NPI 1083632889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1356757306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 SEDGEWICK DR",
"address_2": "#104",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088115",
"telephone_number": "228-343-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1691 J A COCHRAN BYP",
"city": "CHESTER",
"state": "SC",
"postal_code": "297062204",
"telephone_number": "803-581-3096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDUFFIE",
"first_name": "CRYSTAL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "35388",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23758",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "COLEMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Chester, SC
- Lissette P.G. Maduro, M.D.
- Amber L Malchow
- Veleka Mayfield, FNP BC
- Deborah McCarley
- Vernora McCullough
- Brent Mitchell McGee
- Medical University Hospital Authority (MUSC Health Pediatrics Chester)
- Medical University Hospital Authority (MUSC Health Chester Nursing Center)
- Medical University Hospital Authority (MUSC Health Chester Medical Center)
- Medical University Hospital Authority (MUSC Health Lowry's Primary Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.