Active NPI
Casey Polt, PHARMACIST
- Pharmacist
- Mt Pleasant, SC
National Provider Identifier
1902321318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36868
- Practice address
- 620 Long Point Rd
Mt Pleasant, SC 29464-8363 - Phone
- (843) 856-4631
- NPI assigned
- Aug 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 36868 | SC | Primary |
Addresses
Primary practice location
620 Long Point Rd
Mt Pleasant, SC 29464-8363
Mailing address
651 Fair Spring Dr
Charleston, SC 29414-7150
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 |
|---|---|---|---|
| 36868 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1902321318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 FAIR SPRING DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294147150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 LONG POINT RD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294648363",
"telephone_number": "843-856-4631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLT",
"first_name": "CASEY",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "36868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.