Active NPI
Eltiana Leondra Mitchell
- Pharmacist
- Columbia, SC
National Provider Identifier
1366323750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60746
- Practice address
- 4467 Devine St
Columbia, SC 29205-3611 - Phone
- (803) 787-2527
- NPI assigned
- Sep 11, 2025
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60746 | SC | Primary |
Addresses
Primary practice location
4467 Devine St
Columbia, SC 29205-3611
Mailing address
2838 Steven Campbell Rd
Elgin, SC 29045-8891
Phone (803) 741-8858
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60746 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1757548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1366323750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2838 STEVEN CAMPBELL RD",
"city": "ELGIN",
"state": "SC",
"postal_code": "290458891",
"telephone_number": "803-741-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4467 DEVINE ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292053611",
"telephone_number": "803-787-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ELTIANA",
"middle_name": "LEONDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "60746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.