Active NPI
Shaniqua Sharda Timmons
- Pharmacist
- Hartsville, SC
National Provider Identifier
1629596234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37357
- Practice address
- 901 S 5TH St
Hartsville, SC 29550 - Phone
- (843) 332-4523
- NPI assigned
- Sep 4, 2017
- Last updated
- Sep 4, 2017
- 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 | 37357 | SC | Primary |
Addresses
Primary practice location
901 S 5TH St
Hartsville, SC 29550
Mailing address
901 S 5TH St
Hartsville, SC 29550
Phone (843) 332-4523
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37357 | SC | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504483200000",
"number": "1629596234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S 5TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "29550",
"telephone_number": "843-332-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S 5TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "29550",
"telephone_number": "843-332-4523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "SHANIQUA",
"middle_name": "SHARDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-04",
"last_updated": "2017-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
- Teresa Redfearn LLC (Child and Family Resource Center)
- The Center for Womens Health
- The Master's Home Health Care Agency
- Dennis Theobald, PT
- Therapeutic Designs and Services
- Tony Skorput PA
- Total Renal Care Inc (Harts Dialysis)
- Andrea B Trader, FNP
- Trent Hill Center for Children and Families
- Crystal Tuck, MS, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.