Individual provider Active NPI

Trina Topshe Corbett

  • Pharmacist
  • Summerton, SC
National Provider Identifier
1629670807
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13165 Issued in SC
Practice address
115B Main St
Summerton, SC 29148-6904
Phone
(803) 485-2555
Fax
(803) 485-4306
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13165 SC Primary

Addresses

Primary practice location

115B Main St
Summerton, SC 29148-6904

Mailing address

21 N Church St
Summerton, SC 29148-9168
Phone (803) 485-2555

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
13165SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summerton Drugs Compounding and Dispensary CurrentSince Jun 4, 2023 Accepting new patients
Summerton Drugs Compounding and Dispensary PastSince Nov 15, 2020 Accepting new patients

Locations

115 Main St
#B
Summerton, SC 29148
Phone (803) 485-2555

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1629670807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N CHURCH ST",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "291489168",
            "telephone_number": "803-485-2555",
            "fax_number": "803-485-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115B MAIN ST",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "291486904",
            "telephone_number": "803-485-2555",
            "fax_number": "803-485-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "TRINA",
        "middle_name": "TOPSHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.