Active NPI
Tommie Davis Ladeau, PHARMD
- Pharmacist
- Columbia, SC
National Provider Identifier
1720385875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12620
- Practice address
- 1911 Hampton St
Columbia, SC 29201-3535 - Phone
- (800) 939-2022
- Fax
- (855) 523-0910
- NPI assigned
- Feb 24, 2011
- 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 | 12620 | SC | Primary |
Addresses
Primary practice location
1911 Hampton St
Columbia, SC 29201-3535
Mailing address
1911 Hampton St
Columbia, SC 29201-3535
Phone (800) 939-2022
Other practice location 1
2 Palmetto Wood Pkwy Ste 100
Irmo, SC 29063-2881
Phone (803) 358-6714
Other practice location 2
5220 Sunset Blvd
Lexington, SC 29072-9259
Phone (803) 358-0318 ext. 10
Other names 1
- Dr. Davis Ladeau
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 |
|---|---|---|---|
| 12620 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1720385875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 HAMPTON ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013535",
"telephone_number": "800-939-2022",
"fax_number": "555-230-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 HAMPTON ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013535",
"telephone_number": "800-939-2022",
"fax_number": "855-523-0910"
}
],
"practiceLocations": [
{
"address_1": "2 Palmetto Wood Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Irmo",
"state": "SC",
"postal_code": "290632881",
"country_code": "US",
"telephone_number": "803-358-6714",
"fax_number": "803-957-2541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5220 Sunset Blvd",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "290729259",
"country_code": "US",
"telephone_number": "803-358-0318 x10",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LADEAU",
"first_name": "TOMMIE",
"middle_name": "DAVIS",
"name_prefix": "Miss",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVIS",
"last_name": "LADEAU",
"prefix": "DR.",
"credential": "PHARMD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.