Active NPI
Sue C Bourne, RPH
- Pharmacist
- Summerville, SC
National Provider Identifier
1730257718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5267
- Practice address
- 140 S Main St
Summerville, SC 29483-6008 - Phone
- (843) 873-2531
- Fax
- (843) 873-4572
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 5267 | SC | Primary |
Addresses
Primary practice location
140 S Main St
Summerville, SC 29483-6008
Mailing address
405 Front St
Georgetown, SC 29440-3735
Phone (843) 527-6996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5267 | Other | SC | LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5267 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guerins Pharmacy Inc | Pharmacist | Past | Accepting new patients |
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.
-
- Pharmacist
- Summerville, SC
- NPI 1700879681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730257718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 FRONT ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294403735",
"telephone_number": "843-527-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 S MAIN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836008",
"telephone_number": "843-873-2531",
"fax_number": "843-873-4572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURNE",
"first_name": "SUE",
"middle_name": "C",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "5267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5267",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.