Active NPI
Vanessa Kligman, PHARM.D
- Pharmacist
- Shaw AFB, SC
National Provider Identifier
1760776561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12677
- Practice address
- 431 Meadowlark St
Shaw a F B, SC 29152-5019 - Phone
- (803) 895-6464
- NPI assigned
- Jun 9, 2011
- Last updated
- Jun 9, 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 | 12677 | SC | Primary |
Addresses
Primary practice location
431 Meadowlark St
Shaw a F B, SC 29152-5019
Mailing address
1343 Sunnyside Dr
Columbia, SC 29204-3322
Phone (803) 528-4286
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1760776561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1343 SUNNYSIDE DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292043322",
"telephone_number": "803-528-4286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 MEADOWLARK ST",
"city": "SHAW A F B",
"state": "SC",
"postal_code": "291525019",
"telephone_number": "803-895-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIGMAN",
"first_name": "VANESSA",
"name_prefix": "Mrs.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shaw AFB, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.