Active NPI
Carol Heller, RPH
- Pharmacist
- Williston, SC
National Provider Identifier
1770914004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9543
- Practice address
- 12845 Main St
Williston, SC 29853-2711 - Phone
- (803) 266-4345
- NPI assigned
- Dec 12, 2013
- Last updated
- Dec 12, 2013
- 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 | 9543 | SC | Primary |
Addresses
Primary practice location
12845 Main St
Williston, SC 29853-2711
Mailing address
12845 Main St
Williston, SC 29853-2711
Phone (803) 266-4345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4220252 | Other | SC | NABP |
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 |
|---|---|---|---|
| 9543 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1770914004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12845 MAIN ST",
"city": "WILLISTON",
"state": "SC",
"postal_code": "298532711",
"telephone_number": "803-266-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12845 MAIN ST",
"city": "WILLISTON",
"state": "SC",
"postal_code": "298532711",
"telephone_number": "803-266-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "CAROL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "9543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4220252",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williston, SC
- Carolina Rural Practice Management, Inc. (Williston Medical Center)
- Elise Faulkner
- Cheryl Lee Gentry, PTA
- Vickie Glover, PA
- Jaleel Hammonds
- Hometown Heroes Healthcare, LLC
- Rebekah Ashlyn Koon, PHARM.D.
- Low Country Health Care System, Inc (Williston Family Medicine)
- Angela Nicole Marzolf, COTA/L
- Kayla Jo Nix Medlin, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.