Active NPI
Megan Brooke Dehaven, PHARMD, BCPS
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Anderson, SC
National Provider Identifier
1720829567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 43032
- Practice address
- 131 Broadbent Way
Anderson, SC 29625-1521 - Phone
- (864) 222-9798
- NPI assigned
- Jun 5, 2024
- 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 | 43032 | SC | Primary |
Addresses
Primary practice location
131 Broadbent Way
Anderson, SC 29625-1521
Mailing address
2600 Pope Dr
Anderson, SC 29625-2229
Phone (864) 934-7906
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 |
|---|---|---|---|
| 43032 | SC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Carolina Treatment Center, LLC | Current | Accepting new patients |
Locations
131 Broadbent Way
Anderson, SC 29625
Phone (862) 222-9798
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Anderson, SC
- NPI 1699007021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1720829567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 POPE DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296252229",
"telephone_number": "864-934-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 BROADBENT WAY",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296251521",
"telephone_number": "864-222-9798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHAVEN",
"first_name": "MEGAN",
"middle_name": "BROOKE",
"credential": "PHARMD, BCPS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "SC",
"license": "43032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.