Autumn Tami, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH14011 Issued in SC

Practice address

601 Highway 17 N
Surfside Beach, SC 29575-6024

Phone

(843) 238-5628

NPI assigned

Sep 15, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379203200000",
    "number": "1881020428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 PUTNAM DR",
            "address_2": "UNIT 234",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 17 N",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756024",
            "telephone_number": "843-238-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMI",
        "first_name": "AUTUMN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-15",
        "last_updated": "2013-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP443872",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "PH14011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surfside Beach Urgent Care LLC
• Surfside Counseling, LLC
• Surfside Dental LLC
• Surfside SW LLC
• Susan Edwards Surratt, FNP
• Telenutrition Therapy
• Christopher Ryan Templeton, CPHT
• Suzanne Tenwesteneind, DC
• Terry Reardon MD, P.C.
• Edward Scott Thomas, D.C.

• Pharmacist in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.