Individual provider Active NPI

Deborah Causey

  • Pharmacist
  • Fountain Inn, SC
National Provider Identifier
1386994549
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9440 Issued in SC
Practice address
203 N Main St
Fountain Inn, SC 29644-1907
Phone
(864) 862-4414
Fax
(864) 862-0592
NPI assigned
Sep 14, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9440 SC Primary

Addresses

Primary practice location

203 N Main St
Fountain Inn, SC 29644-1907

Mailing address

203 North Main Street
Fountain Inn, SC 29644
Phone (864) 862-4414

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

LicenseStateTypeSpecialty
9440SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Inn RX LLC Current Accepting new patients

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1386994549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NORTH MAIN STREET",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "29644",
            "telephone_number": "864-862-4414",
            "fax_number": "864-862-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MAIN ST",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441907",
            "telephone_number": "864-862-4414",
            "fax_number": "864-862-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSEY",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "9440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Inn, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.