Active NPI
Samuel David Rentz, PHARMD
- Pharmacist
- Clemson, SC
National Provider Identifier
1932839412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43876
- Practice address
- 402 College Ave
Clemson, SC 29631-2923 - Phone
- (864) 654-1771
- NPI assigned
- Jun 16, 2022
- Last updated
- May 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH033670 | GA | |
| Pharmacist | 183500000X | 43876 | SC | Primary |
Addresses
Primary practice location
402 College Ave
Clemson, SC 29631-2923
Mailing address
402 College Ave
Clemson, SC 29631-2923
Phone (864) 654-1771
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 |
|---|---|---|---|
| RPH033670 | GA | MD | Pharmacist |
| 43876 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hubbard Young Pharmacy Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Clemson, SC
- NPI 1083727630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1932839412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 COLLEGE AVE",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296312923",
"telephone_number": "864-654-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 COLLEGE AVE",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296312923",
"telephone_number": "864-654-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTZ",
"first_name": "SAMUEL",
"middle_name": "DAVID",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-16",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033670",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clemson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.