Adam Wade Chittam

Primary specialty

PharmacistTaxonomy code 183500000X

License

12720 Issued in SC

Practice address

120 W Columbia Ave
Batesburg, SC 29006-2100

Phone

(803) 532-5564

Fax

(803) 532-8196

NPI assigned

Aug 31, 2012

Last updated

Aug 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1942559240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 WINTERBERRY LOOP",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728153",
            "telephone_number": "803-520-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W COLUMBIA AVE",
            "city": "BATESBURG",
            "state": "SC",
            "postal_code": "290062100",
            "telephone_number": "803-532-5564",
            "fax_number": "803-532-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTAM",
        "first_name": "ADAM",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Batesburg Leesville Rescue Squad
• Gloria J. Burgess, M.ED, LPCS
• Caring Hands Senior Transport
• Carolina Cataract Clinic
• Audrey Childers
• Jacqueline Coleman, MASSAGE THERAPY
• CVS
• Chad Dancy
• Eau Claire Cooperative Health Center, Inc. (Cooperative Health Batesburg-Leesville)
• Ayanna Akeya Kimbrel Etheredge

• Pharmacist in Batesburg, SC
• Providers in Batesburg, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.