CBD Medical Enterprises PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

CBD MEDICAL ENTERPRISES PA

Practice address

1341 Old Georgetown Rd
Suite B
Mt Pleasant, SC 29464-7307

Phone

(843) 266-9298

NPI assigned

Aug 9, 2012

Organization subpart

Yes

Parent organization

CBD MEDICAL ENTERPRISES PAAs reported in NPPES

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

Authorized official

Name

Dr. Thomas A. Duc Jr., MDNPI 1871549865

Title

President

Phone

(843) 266-9298

Specialties & licenses 1

Addresses

Part of

CBD Medical Enterprises PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• CBD Medical Enterprises PA

  • Anesthesiology Physician
  • Mt Pleasant, SC
  • NPI 1578784609
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas A Duc, MD

  • Pain Medicine (Anesthesiology) Physician
  • Charleston, SC
  • NPI 1871549865
  NPD Authorized official

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1669729604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 OLD GEORGETOWN RD",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647307",
            "telephone_number": "843-266-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBD MEDICAL ENTERPRISES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CBD MEDICAL ENTERPRISES PA",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "DUC",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-266-9298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy E Cauble, COTA/L
• Madison Caudle, PHARMD
• Brittany L Cauller, PHARMD
• CB Medical LLC
• CBD Medical Enterprises PA
• Center for Improving Relationships
• Madeline Centracchio
• Jessica Jo-Ann Ceremuga, DPT
• CFL Home Care Inc.
• Susan K Chalela

• All providers in Mt Pleasant, SC
• Non-Pharmacy Dispensing Site in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.