East Coast Isotopes

Primary specialty

Nuclear PharmacistTaxonomy code 1835N0905X

License

50007984 Issued in SC

Legal business name

EAST COAST ISOTOPES

Practice address

149 Riverwalk Blvd
Suite 11
Ridgeland, SC 29936-8190

Phone

(843) 645-6377

Fax

(843) 645-4133

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William H Thurmon III, PHARM.D.

Title

Manager

Phone

(843) 645-6377

Specialties & licenses 1

Addresses

Tax ID family

East Coast Isotopes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Triad Isotopes Inc

  • Nuclear Pharmacy
  • Savannah, GA
  • NPI 1639437783
  NPD tax ID

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386783934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 RIVERWALK BLVD",
            "address_2": "SUITE 11",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368190",
            "telephone_number": "843-645-6377",
            "fax_number": "843-645-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 RIVERWALK BLVD",
            "address_2": "SUITE 11",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368190",
            "telephone_number": "843-645-6377",
            "fax_number": "843-645-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST ISOTOPES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THURMON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-645-6377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "1835N0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Nuclear",
            "state": "SC",
            "license": "50007984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fritz Delerme
• Timothy Desousa, CSFA
• Leigh Diotalevi, LISW-CP
• Emelia Laine Dixon
• Earl Bostick,Sr. D.M.D.
• Josieann Mauro Eccles, PA
• Charles Eggleston
• Energy Home Care, LLC
• Melissa Jennifer Etheridge, PHARMACISTS
• Tricia L Etheridge, M.D.

• Pharmacist in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.