Active NPI
Renee Wicks, DR.
- Pharmacist
- Goose Creek, SC
National Provider Identifier
1679941843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36293
- Practice address
- 215 Saint James Ave
Goose Creek, SC 29445-2938 - Phone
- (864) 706-9911
- NPI assigned
- Sep 4, 2015
- 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 | 36293 | SC | Primary |
Addresses
Primary practice location
215 Saint James Ave
Goose Creek, SC 29445-2938
Mailing address
907 Folly Rd Suite a
James Island, SC 29412
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747958400000",
"number": "1679941843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 FOLLY RD SUITE A",
"city": "JAMES ISLAND",
"state": "SC",
"postal_code": "29412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 SAINT JAMES AVE",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452938",
"telephone_number": "864-706-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKS",
"first_name": "RENEE",
"credential": "DR.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-04",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "36293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.