Active NPI
Shirley Thomas, RPH
- Pharmacist
- Goose Creek, SC
National Provider Identifier
1861761678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3695
- Practice address
- 142 Saint James Ave
Goose Creek, SC 29445-2973 - Phone
- (843) 572-1095
- Fax
- (843) 863-1475
- NPI assigned
- Dec 22, 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 | 3695 | SC | Primary |
Addresses
Primary practice location
142 Saint James Ave
Goose Creek, SC 29445-2973
Mailing address
142 Saint James Ave
Goose Creek, SC 29445-2973
Phone (843) 572-1095
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3695 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1861761678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 SAINT JAMES AVE",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452973",
"telephone_number": "843-572-1095",
"fax_number": "843-863-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 SAINT JAMES AVE",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452973",
"telephone_number": "843-572-1095",
"fax_number": "843-863-1475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHIRLEY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "3695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.