Individual provider Active NPI

Theresa Tomblin, PHARM.D

  • Pharmacist
  • Chapin, SC
National Provider Identifier
1962770388
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
010874 Issued in SC
Practice address
1419 Chapin Rd.
Chapin, SC 29036-0759
Phone
(803) 345-0679
Fax
(803) 345-1817
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 010874 SC Primary

Addresses

Primary practice location

1419 Chapin Rd.
Chapin, SC 29036-0759

Mailing address

1419 Chapin Rd.
Chapin, SC 29036-0759
Phone (803) 345-0679

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

LicenseStateTypeSpecialty
010874SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1962770388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 CHAPIN RD.",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290360759",
            "telephone_number": "803-345-0679",
            "fax_number": "803-345-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 CHAPIN RD.",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290360759",
            "telephone_number": "803-345-0679",
            "fax_number": "803-345-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBLIN",
        "first_name": "THERESA",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "010874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.