Active NPI
Keely Noel Putnam, PHARMD
- Pharmacist
- Mount Pleasant, SC
National Provider Identifier
1871969782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36110
- Practice address
- 640 Long Point Rd
Mount Pleasant, SC 29464-8216 - Phone
- (843) 881-5644
- NPI assigned
- Aug 14, 2015
- 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 | 36110 | SC | Primary |
Addresses
Primary practice location
640 Long Point Rd
Mount Pleasant, SC 29464-8216
Mailing address
481 Seven Farms Dr
Apartment 414
Daniel Island, SC 29492-8491
Phone (843) 813-4138
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 |
|---|---|---|---|
| 36110 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| South Carolina CVS Pharmacy, L.L.C. | 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.
-
- Pharmacy
- Indian Land, SC
- NPI 1174406573
-
- Pharmacy
- Mt Pleasant, SC
- NPI 1942304753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1871969782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 SEVEN FARMS DR",
"address_2": "APARTMENT 414",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294928491",
"telephone_number": "843-813-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 LONG POINT RD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294648216",
"telephone_number": "843-881-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNAM",
"first_name": "KEELY",
"middle_name": "NOEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "36110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.