Laveda Yolanda Odom, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

008884 Issued in SC

Practice address

100 Prison Rd
Estill, SC 29918

Phone

(803) 625-4607

Fax

(803) 625-5603

NPI assigned

Aug 9, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Federal Correctional Ins Estill

  • Prison Health Clinic/Center
  • Estill, SC
  • NPI 1174867857
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1730512005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PALOMINO DR",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313125178",
            "telephone_number": "912-728-3037",
            "fax_number": "912-728-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRISON RD",
            "city": "ESTILL",
            "state": "SC",
            "postal_code": "29918",
            "telephone_number": "803-625-4607",
            "fax_number": "803-625-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "LAVEDA",
        "middle_name": "YOLANDA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "008884",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "SC",
            "license": "008884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Warren McAlhaney, MSN
• Sara Ashley McCracken
• David H McKenzie Jr., O.D.
• Michelle Marie McKenzie, OD
• Datasha Mitchell
• Pruitthealth - Estill, LLC
• John R Pyles, FNP-BC
• Ashlyn E Smith, FNP
• United Rehab Inc
• Latoya Monique Williams, PHARMD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Estill, SC
• Providers in Estill, SC by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.