Active NPI
Presbyterian College
- Pharmacotherapy Pharmacist
- Clinton, SC
National Provider Identifier
1710273594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 11110
- Legal business name
- PRESBYTERIAN COLLEGE
- Practice address
- 307 N Broad St
Clinton, SC 29325-2305 - Phone
- (864) 938-3900
- NPI assigned
- Jun 21, 2011
- Organization subpart
- Yes
- Parent organization
- PRESBYTERIAN COLLEGE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard E. Stull, PHD
- Title
- Dean
- Phone
- (864) 938-3901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 11110 | SC | Primary |
Addresses
Primary practice location
307 N Broad St
Clinton, SC 29325-2305
Mailing address
307 N Broad St
Clinton, SC 29325-2305
Phone (864) 938-3900
Other names 1
- School of Pharmacy; PCSP Diabetes Center; PCSP Wellness Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2018803 | Presbyterian College School of Pharmacy | Certificate of waiver | Jan 13, 2027 |
National Provider Directory
National Provider Directory- Part of
- Presbyterian College
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308614400000",
"number": "1710273594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 N BROAD ST",
"city": "CLINTON",
"state": "SC",
"postal_code": "293252305",
"telephone_number": "864-938-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 N BROAD ST",
"city": "CLINTON",
"state": "SC",
"postal_code": "293252305",
"telephone_number": "864-938-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESBYTERIAN COLLEGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRESBYTERIAN COLLEGE",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A",
"authorized_official_last_name": "STULL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "DEAN",
"authorized_official_telephone_number": "864-938-3901",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacotherapy",
"state": "SC",
"license": "11110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "School of Pharmacy; PCSP Diabetes Center; PCSP Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.