Active NPI
Bassam Soumsoum
- Pharmacist
- Greer, SC
National Provider Identifier
1861242216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44266
- Practice address
- 821 South Batesville Road
Greer, SC 29650 - Phone
- (864) 879-1702
- NPI assigned
- Mar 26, 2024
- Sex
- Male
- 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 | 44266 | SC | Primary |
Addresses
Primary practice location
821 South Batesville Road
Greer, SC 29650
Mailing address
821 S Batesville Rd
Greer, SC 29650-3656
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 |
|---|---|---|---|
| 44266 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| South Carolina CVS Pharmacy LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1861242216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 S BATESVILLE RD",
"city": "GREER",
"state": "SC",
"postal_code": "296503656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 SOUTH BATESVILLE ROAD",
"city": "GREER",
"state": "SC",
"postal_code": "29650",
"telephone_number": "864-879-1702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUMSOUM",
"first_name": "BASSAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "44266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
- Soar Counseling Services, LLC
- Sofia Sobkiv
- Tony Martin Solesbee, RPH
- Amanda Somers
- Soteria Counseling LLC
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #03802)
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #04153)
- South Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy #02189)
- South Carolina Research Group LLC
- South Carolina Speech Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.