Active NPI
Kerri Diane Bevacqua, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Hilton Head Island, SC
National Provider Identifier
1659615029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10521
- Practice address
- 42 Shelter Cove LN
Hilton Head Island, SC 29928-3543 - Phone
- (843) 852-0550
- NPI assigned
- Nov 24, 2012
- Last updated
- Jul 29, 2026
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10521 | SC | Primary |
Addresses
Primary practice location
42 Shelter Cove LN
Hilton Head Island, SC 29928-3543
Mailing address
42 Shelter Cove LN
Hilton Head Island, SC 29928-3543
Phone (843) 842-0550
Other names 1
- Kerri Bevacqua
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10521 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients | |
| Kroger Co | Past | Accepting new patients | |
| Harris Teeter LLC | Past | Accepting new patients | |
| Harris Teeter, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Fort Mill, SC
- NPI 1821191792
-
dba Kroger Pharmacy #671
- Community/Retail Pharmacy
- Hilton Head Island, SC
- NPI 1124469473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1659615029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 SHELTER COVE LN",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299283543",
"telephone_number": "843-842-0550",
"fax_number": "843-842-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 SHELTER COVE LN",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299283543",
"telephone_number": "843-852-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVACQUA",
"first_name": "KERRI",
"middle_name": "DIANE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-24",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "SC",
"license": "10521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRI",
"last_name": "BEVACQUA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Hilton Head Island, SC
- Beaufort County Memorial Hospital
- Beaufort County Student Mental Health LLC (Bcsmh)
- Beaufort Orthopaedic Sports and Spine Center LLC
- Benchmark Healthcare Services LLC
- Sara Elizabeth Beresovoy
- BHS Physician Services of South Carolina PC
- Andrew S Binamira, MD
- Bio-Medical Applications of South Carolina, Inc. (FMC Hilton Head Dialysis Center)
- Zachary Frank Biondi, D.C.
- Bishop Eye Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.