Individual provider Active NPI

Courtney Paige Neuder, PHARMD

  • Pharmacist
  • Moore, SC
National Provider Identifier
1639725278
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42126 Issued in SC
Practice address
5895 Reidville Rd
Moore, SC 29369-8409
Phone
(864) 486-6990
NPI assigned
Aug 9, 2019
Last updated
Aug 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29054 NC
Pharmacist 183500000X 42126 SC Primary

Addresses

Primary practice location

5895 Reidville Rd
Moore, SC 29369-8409

Mailing address

903 Brockman McClimon Rd
Greer, SC 29651-7038
Phone (864) 542-6504

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

State licenses

LicenseStateTypeSpecialty
29054NCMDPharmacist
42126SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1639725278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BROCKMAN MCCLIMON RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517038",
            "telephone_number": "864-542-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 REIDVILLE RD",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293698409",
            "telephone_number": "864-486-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUDER",
        "first_name": "COURTNEY",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29054",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.