Al Lionel Deveaux Jr., PHARMD

Primary specialty

Pediatric PharmacistTaxonomy code 1835P0200X

License

11921 Issued in SC

Practice address

1 Poston Rd Ste 105
Charleston, SC 29407-3466

Phone

(843) 985-2358

NPI assigned

Sep 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1811502248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 FOREST TRL",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POSTON RD STE 105",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073466",
            "telephone_number": "843-985-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEAUX",
        "first_name": "AL",
        "middle_name": "LIONEL",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pediatrics",
            "state": "SC",
            "license": "11921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James B Detorre, MD
• Emma Dettmer, RN
• Nathan Deturk, MD, MBA
• Danielle Christine Detwiler, DDS
• Madeline Renee Deveau
• Anita Deveaux
• Christopher J Devine, CRNA
• Denise Hays Devine, MD
• Kristine Devine, DPT
• Robert Russell Devita, MD

• Pediatric Pharmacist in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatric Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.