Amy Stansell Tate, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

42921 Issued in SC

Practice address

101 Founders Bay Rd
Murrells Inlet, SC 29576-8089

Phone

(843) 651-8863

NPI assigned

Jan 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Indian Land, SC
  • NPI 1174406573
  NPD (past)
• K VA T Food Stores Inc

  • Community/Retail Pharmacy
  • Huntsville, AL
  • NPI 1245038512
  NPD (past)
• K-VA-T Food Stores Inc

  • Community/Retail Pharmacy
  • Loudon, TN
  • NPI 1396027116
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1942899570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GRAY MANS LOOP",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856635",
            "telephone_number": "865-591-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FOUNDERS BAY RD",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768089",
            "telephone_number": "843-651-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "AMY",
        "middle_name": "STANSELL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "12293",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Specialists of Waccamaw, LLC
• Melissa Swartz, M.S., LPCI
• Connor James Sykes
• T J Reardon MD LLC
• Karen J Talley, OTR/L
• Jeffrey Taylor Jr.
• Jessamyn Thackray, ACNPC-AG
• The Kroger Co
• The Total Vision Insitute LLC
• John R Thomas III, DPT

• Pharmacist in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.