Individual provider Active NPI

Denise Mackey

  • Pharmacist
  • Indian Land, SC
National Provider Identifier
1598045635
Registry record updated Aug 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7404 Issued in SC
Practice address
6271 Carolina Commons Dr
Indian Land, SC 29707-5980
Phone
(803) 802-5400
Fax
(803) 548-9355
NPI assigned
Aug 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7404 SC Primary

Addresses

Primary practice location

6271 Carolina Commons Dr
Indian Land, SC 29707-5980

Mailing address

6271 Carolina Commons Dr
Indian Land, SC 29707-5980
Phone (803) 802-5400

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

State licenses

LicenseStateTypeSpecialty
7404SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Teeter, LLC Past Accepting new patients
Harris Teeter LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313884800000",
    "number": "1598045635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 CAROLINA COMMONS DR",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297075980",
            "telephone_number": "803-802-5400",
            "fax_number": "803-548-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 CAROLINA COMMONS DR",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297075980",
            "telephone_number": "803-802-5400",
            "fax_number": "803-548-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-21",
        "last_updated": "2011-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "7404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2011; 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.