Active NPI
Shawn-Ta De-Vaughn Brown, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Florence, SC
National Provider Identifier
1851064117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 42945
- Practice address
- 3306 W Palmetto St
Florence, SC 29501-5942 - Phone
- (843) 317-9365
- NPI assigned
- Jul 30, 2021
- Last updated
- Jul 30, 2021
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 42945 | SC | Primary |
Addresses
Primary practice location
3306 W Palmetto St
Florence, SC 29501-5942
Mailing address
1025 Meadowcroft Dr
Sumter, SC 29154-8389
Phone (803) 973-9599
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | escribe | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 42945 | SC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1851064117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MEADOWCROFT DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291548389",
"telephone_number": "803-973-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 W PALMETTO ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015942",
"telephone_number": "843-317-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SHAWN-TA",
"middle_name": "DE-VAUGHN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "SC",
"license": "42945",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "escribe",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3306 W Palmetto St",
"city": "Florence",
"state": "SC",
"country_code": "US",
"postal_code": "295015942",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.