Individual provider Active NPI

Courtney Sexton Gresham, PHARMD

  • Pharmacist
  • Charleston, SC
National Provider Identifier
1548693658
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11513 Issued in SC
Practice address
457 Jessen LN Ste a
Charleston, SC 29492-7987
Phone
(843) 971-5492
Fax
(843) 849-5591
NPI assigned
Aug 12, 2013
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11513 SC Primary

Addresses

Primary practice location

457 Jessen LN Ste a
Charleston, SC 29492-7987

Mailing address

130 Bull Point Dr
Seabrook, SC 29940-2305
Phone (843) 876-0199

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

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1548693658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BULL POINT DR",
            "city": "SEABROOK",
            "state": "SC",
            "postal_code": "299402305",
            "telephone_number": "843-876-0199",
            "fax_number": "843-985-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 JESSEN LN STE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927987",
            "telephone_number": "843-971-5492",
            "fax_number": "843-849-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "COURTNEY",
        "middle_name": "SEXTON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.