MR. KEVAN WALLACE PAGE (NPI# 1174742860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174742860 |
| Entity Type | Individual |
| Full Name | MR. KEVAN WALLACE PAGE |
| Credential | PHARMD |
| Practice Address |
101 Pete Hollis Blvd Greenville SC 29601-1107 |
| Mailing Address |
614 Heathrow Ct Moore SC 29369-8604 |
| Practice Telephone | 8642326711 |
| Mailing Telephone | 8643031951 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 010503 | SC | Pharmacy Service Providers |
| Street Address |
101 PETE HOLLIS BLVD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053402891 | Kash & Karry Pharmacy, LLC | Pharmacy | 101 Pete Hollis Blvd, Greenville, SC 29601-1107 | 2006-09-27 |
| 1396964276 | James Donald Eison | Pharmacist | 101 Pete Hollis Blvd, Greenville, SC 29601-1107 | 2007-04-25 |
| 1154544229 | Kash and Karry Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 Pete Hollis Blvd, Greenville, SC 29601-1107 | 2007-04-10 |
| 1417027905 | Laura P Brown | Pharmacy Technician | 101 Pete Hollis Blvd, Greenville, SC 29601-1107 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| 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 |
|---|---|---|---|---|
| 1457963092 | Aericka Oneal | Pharmacist | 101 Greenville Bypass, Greenville, AL 36037 | 2020-08-17 |
| 1558983486 | Matthew Klieforth | Pharmacist | N2345 Weatherhill Ct, Greenville, WI 54942-8070 | 2020-05-14 |
| 1619596160 | Anna K Lee | Pharmacist | 9665 Highway 150, Greenville, IN 47124-9233 | 2020-04-14 |
| 1255960415 | Randall Lewis Clark | Pharmacist | 43 Williamson Rd Ste B, Greenville, PA 16125-1224 | 2020-04-08 |
| 1598320657 | Byeori Kim | Pharmacist | 2953 Beunavista Ct, Greenville, NC 27834-6237 | 2019-05-04 |
| 1528524212 | Taylor Matthew Sanders | Pharmacist | 103 Gilstrap Dr, Greenville, SC 29609-3124 | 2019-02-18 |
| 1407322423 | Doree Richardson | Pharmacist | 200 Patewood Dr Ste B150, Greenville, SC 29615-6339 | 2018-10-17 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1225537996 | Andrew Brown | Pharmacist | 500 Guilder Ln, Greenville, NC 27858-6580 | 2018-02-07 |
| 1235644030 | Rebecca Ann Knowles | Pharmacist | 4852 Route 81, Greenville, NY 12083 | 2017-12-04 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29601 |
Please comment or provide details below to improve the information on MR. KEVAN WALLACE PAGE.
| 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.