Active NPI
Samuel Capadano
- Pharmacist
- Pickens, SC
National Provider Identifier
1467064501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42652
- Practice address
- 204 Hampton Ave
Pickens, SC 29671-2420 - Phone
- (864) 878-7954
- NPI assigned
- Aug 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42652 | SC | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42652 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
204 Hampton Ave
Pickens, SC 29671-2420
Mailing address
201 Carolina Point Pkwy Apt 731
Greenville, SC 29607-6573
Phone (585) 298-0716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2021.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1467064501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CAROLINA POINT PKWY APT 731",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296076573",
"telephone_number": "585-298-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 HAMPTON AVE",
"city": "PICKENS",
"state": "SC",
"postal_code": "296712420",
"telephone_number": "864-878-7954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPADANO",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pickens, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.