Active NPI
Erica Chutz Mitchell
- Pharmacist
- Columbia, SC
National Provider Identifier
1851669931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9898
- Practice address
- 120 Forum Dr
Columbia, SC 29229-7951 - Phone
- (803) 699-8332
- NPI assigned
- Dec 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9898 | SC | Primary |
| Pharmacist | 183500000X | 18139 | NC |
Addresses
Primary practice location
120 Forum Dr
Columbia, SC 29229-7951
Mailing address
109 Craigwood Dr
Blythewood, SC 29016-9485
Phone (803) 397-2950
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 |
|---|---|---|---|
| 18139 | NC | MD | Pharmacist |
| 9898 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1851669931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 CRAIGWOOD DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290169485",
"telephone_number": "803-397-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 FORUM DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297951",
"telephone_number": "803-699-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ERICA",
"middle_name": "CHUTZ",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "9898",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18139",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.