Barr Enterprises,LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

20616 Issued in SC

Legal business name

BARR ENTERPRISES,LLC

Doing business as

Advanced Vaccine Service

Practice address

112 Norse Dr
Columbia, SC 29229-3304

Phone

(803) 466-6207

Fax

(803) 736-0442

NPI assigned

Sep 10, 2010

Last updated

Sep 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ricky Ladd, MD

Title

Owner

Phone

(803) 736-0442

Specialties & licenses 1

Addresses

Other names 1

• Advanced Vaccine Service Doing business as

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1407163595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NORSE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292293304",
            "telephone_number": "803-466-6207",
            "fax_number": "803-736-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NORSE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292293304",
            "telephone_number": "803-466-6207",
            "fax_number": "803-736-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARR ENTERPRISES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-736-0442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "SC",
            "license": "20616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Vaccine Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vaughn R Barnick, MD
• Jazmin Shavell Barnwell
• Sean Emerson Barnwell
• Joseph Michael Barone III, NP
• Barr Enterprises,LLC (Advanced Vaccine Service)
• Brooke Barr
• Sandrella Michelle Barr, COTA/L
• Taylor Barr, PT, DPT
• Joyce Ileana Barreda, M.D.
• Callie Newman Barrett

• Community Health Worker in Columbia, SC
• Providers in Columbia, SC by specialty
• Community Health Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.