Active NPI
Theodora Barkoulas, PHARMD
- Pharmacist
- Greenville, SC
National Provider Identifier
1942890611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37263
- Practice address
- 350 Feaster Rd Ste D
Greenville, SC 29615-6176 - Phone
- (855) 240-9368
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 37263 | SC | Primary |
Addresses
Primary practice location
350 Feaster Rd Ste D
Greenville, SC 29615-6176
Mailing address
815 Edwards Rd Unit 59
Greenville, SC 29615-1383
Phone (864) 551-8544
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 |
|---|---|---|---|
| 37263 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1942890611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 EDWARDS RD UNIT 59",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296151383",
"telephone_number": "864-551-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 FEASTER RD STE D",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156176",
"telephone_number": "855-240-9368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKOULAS",
"first_name": "THEODORA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.