Active NPI
Mary Vivas Dail, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Florence, SC
National Provider Identifier
1912423153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 9181
- Practice address
- 200 N Beltline Dr
Florence, SC 29501-7403 - Phone
- (843) 758-6087
- Fax
- (843) 758-6088
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 9181 | SC | Primary |
Addresses
Primary practice location
200 N Beltline Dr
Florence, SC 29501-7403
Mailing address
200 N Beltline Dr
Florence, SC 29501-7403
Phone (843) 758-6087
Other names 1
- Ginger Dail
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 |
|---|---|---|---|
| 9181 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1912423153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N BELTLINE DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295017403",
"telephone_number": "843-758-6087",
"fax_number": "843-758-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BELTLINE DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295017403",
"telephone_number": "843-758-6087",
"fax_number": "843-758-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAIL",
"first_name": "MARY",
"middle_name": "VIVAS",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "SC",
"license": "9181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINGER",
"last_name": "DAIL",
"credential": "PHARMD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.