Active NPI
Heather D Quinn, PHARMD
- Pharmacist
- Mount Pleasant, SC
National Provider Identifier
1487252045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9617
- Practice address
- 421 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3052 - Phone
- (843) 375-6310
- NPI assigned
- Oct 15, 2020
- Last updated
- Oct 15, 2020
- 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 | 9617 | SC | Primary |
Addresses
Primary practice location
421 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3052
Mailing address
575 Hobcaw Bluff Dr
Mt Pleasant, SC 29464-8109
Phone (843) 277-5008
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9617 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Pharmacy & Medical Supply LLC | Past | 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.
-
dba Tidewater Pharmacy & Compounding
- Durable Medical Equipment & Medical Supplies
- Mount Pleasant, SC
- NPI 1417341132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1487252045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 HOBCAW BLUFF DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294648109",
"telephone_number": "843-277-5008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 JOHNNIE DODDS BLVD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643052",
"telephone_number": "843-375-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "HEATHER",
"middle_name": "D",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "9617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.