Active NPI
Jameal Inez Vanderhorst, PHARM-D
- Pharmacist
- Summerville, SC
National Provider Identifier
1801434477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42119
- Practice address
- 301 N Main St
Summerville, SC 29483-6417 - Phone
- (843) 871-0310
- NPI assigned
- Dec 13, 2019
- 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 | 42119 | SC | Primary |
Addresses
Primary practice location
301 N Main St
Summerville, SC 29483-6417
Mailing address
PO Box 714
MC Clellanville, SC 29458-0714
Phone (843) 813-5859
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 |
|---|---|---|---|
| 42119 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1801434477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 714",
"city": "MC CLELLANVILLE",
"state": "SC",
"postal_code": "294580714",
"telephone_number": "843-813-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N MAIN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836417",
"telephone_number": "843-871-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERHORST",
"first_name": "JAMEAL",
"middle_name": "INEZ",
"name_prefix": "Dr.",
"credential": "PHARM-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42119",
"primary": true
}
],
"identifiers": [],
"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 Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.