Active NPI
Janice Mitchum
- Pharmacist
- Moncks Corner, SC
National Provider Identifier
1821395880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8251
- Practice address
- 395 N Highway 52
Moncks Corner, SC 29461-3919 - Phone
- (843) 899-6601
- NPI assigned
- Feb 26, 2011
- Last updated
- Feb 26, 2011
- 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 | 8251 | SC | Primary |
Addresses
Primary practice location
395 N Highway 52
Moncks Corner, SC 29461-3919
Mailing address
395 N Highway 52
Moncks Corner, SC 29461-3919
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8251 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298678400000",
"number": "1821395880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 N HIGHWAY 52",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 N HIGHWAY 52",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613919",
"telephone_number": "843-899-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHUM",
"first_name": "JANICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-26",
"last_updated": "2011-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
- Sarah Ann Minter, D.O.
- Robin A Minutello, LMSW
- Charles Kenneth Mitchell Jr., M.D.
- Enderia Nykisha Mitchell, RN
- Wyatt Mitchell, LMSW
- Lauren Mitchum
- Moncks Corner Dental Group, PC (Moncks Corner Dental Group)
- Moncks Corner Pediatrics LLC
- Moncks Corner Pediatrics LLC
- Moncks Corner Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.