ALLISON DESHIELDS BROCKMAN (NPI# 1003197948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003197948 |
| Entity Type | Individual |
| Full Name | ALLISON DESHIELDS BROCKMAN |
| Credential | RPH |
| Practice Address |
109 N Main St Greer SC 29650 |
| Practice Telephone | 8648770753 |
| Practice Fax Number | 8648775171 |
| Mailing Telephone | 8648770753 |
| Mailing Fax Number | 8648775171 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9602 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | LICENSE | 9602 | 01 |
| Street Address |
109 N MAIN ST |
| City | GREER |
| State | SC |
| Zip Code | 29650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154797751 | Margaret Funderburk Blauert | Pharmacist | 109 N Main St, Greer, SC 29650-1921 | 2015-08-18 |
| 1386983625 | James E Wall | Pharmacist | 109 N Main St, Greer, SC 29650-1921 | 2013-02-06 |
| 1932447844 | Rachel Godfrey | Pharmacy Technician | 109 N Main St, Mcleskey Todd Pharmacy of Greer, Greer, SC 29650 | 2013-01-28 |
| 1861640096 | Denise M Bishop | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2008-08-29 |
| 1326172016 | Mcleskey-todd Pharmacy of Greer Inc | Durable Medical Equipment & Medical Supplies | 109 N Main St, Greer, SC 29650-1921 | 2007-03-15 |
| 1962530329 | Annie Fowler | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-02-28 |
| 1366581985 | Chelsea Morgan Fowler | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-02-06 |
| 1114072576 | Kelly Susan Larkin | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-01-24 |
| 1841345758 | Jerri W Wood | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-01-24 |
| 1629123088 | Christopher Allen | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892425 | Lukas William Hannon | Pharmacist | 428 Memorial Drive Ext, Greer, SC 29651-1818 | 2020-02-07 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1619499035 | Jerry Webb Hudspeth II | Pharmacist | 221 Marnie Ln, Greer, SC 29651 | 2017-07-07 |
| 1215319223 | Kimberly Lyons Mooney | Pharmacist | 23 Silver Meadow Ln, Greer, SC 29651-5506 | 2015-06-25 |
| 1881082600 | Patrice Sykes Ray | Pharmacist | 6 Lafay Way, Greer, SC 29650-3784 | 2014-12-31 |
| 1679972327 | Ushma Desai | Pharmacist | 100 Bennington Way, Greer, SC 29650-4007 | 2014-08-19 |
| 1174948467 | Mary Beth Brandt | Pharmacist | 805 W Wade Hampton Blvd, Greer, SC 29650-1311 | 2014-02-24 |
| 1114263951 | Rebecca Anne Brosius | Pharmacist | 18 Nautical Dr, Greer, SC 29650-5343 | 2012-12-26 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1073863395 | Sarah Delello Black | Pharmacist | 590 East Howell Rd, Greer, SC 29651 | 2012-09-13 |
| Find all providers in GREER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.