Tenia Slade, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

60452 Issued in SC

Practice address

111 W Butler Rd
Mauldin, SC 29662-2534

Phone

(864) 987-1607

Fax

(864) 987-9513

NPI assigned

Nov 23, 2024

Sex

Female

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

Credentials

Doctor of Pharmacy

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.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Mauldin, SC
  • NPI 1811937253
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1952127045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHURCHILL CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051611",
            "telephone_number": "864-386-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W BUTLER RD",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622534",
            "telephone_number": "864-987-1607",
            "fax_number": "864-987-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "TENIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "60452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Set Apart Health LLC
• SH Counseling and Consulting, LLC
• Celeste Simmons
• Caleigh M Simon, NP-C, MSN
• Ashley Skutka, PT, DPT
• Smith Family Dentistry
• Earl Scott Smith, DMD
• Jalen Patrick Smith
• Jana Smith, DMD
• Solutions Health Services, Inc

• Pharmacist in Mauldin, SC
• Providers in Mauldin, 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 23, 2024; 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.