Active NPI
Debra Blackwell
- Pharmacist
- Pageland, SC
National Provider Identifier
1538419619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8017
- Practice address
- 205 North Van Lingle Mungo Blvd
Pageland, SC 29728 - Phone
- (843) 672-2420
- NPI assigned
- Sep 14, 2012
- Last updated
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 8017 | SC | Primary |
Addresses
Primary practice location
205 North Van Lingle Mungo Blvd
Pageland, SC 29728
Mailing address
6972 Sandhill Rd
Kershaw, SC 29067-8288
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
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": "1538419619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6972 SANDHILL RD",
"city": "KERSHAW",
"state": "SC",
"postal_code": "290678288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 NORTH VAN LINGLE MUNGO BLVD",
"city": "PAGELAND",
"state": "SC",
"postal_code": "29728",
"telephone_number": "843-672-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "DEBRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pageland, SC
- All-Star Health & Wellness LLC
- Americare Health, PC (Family Medical Center)
- Andrew Scott Jackson, DDS, PA
- B and D Care
- Banks Resources
- Emily Price Blackwell, LPN
- Joann Victoria Blakeney-Nieholson
- Marquita Blakeney, BT
- Carolinas Physicians Network Inc (Pageland Family Medicine)
- Crystal B Clark, FNP-C
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.