CAROLINA PODIATRIC MEDICAL ASSOCIATES, PA COMPOUND PHARMACY (NPI# 1376968867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376968867 |
| Entity Type | Organization |
| Organization Name | CAROLINA PODIATRIC MEDICAL ASSOCIATES, PA COMPOUND PHARMACY |
| Other Organization Name | CPMA COMPOUND PHARMACY |
| Practice Address |
721 Richland Ave W Suite 100 Aiken SC 29801-2438 |
| Practice Telephone | 8033292145 |
| Practice Fax Number | 8036493848 |
| Mailing Telephone | 8033292145 |
| Mailing Fax Number | 8036493848 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | DR. MACKIE JAMES WALKER JR. (DIRECTOR) |
| Authorized Official Telephone | 8032921452 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINA PODIATRIC MEDICAL ASSOCIATES, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
59 | SC | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| CPMA Compound Pharmacy | Doing Business As Name - Organization |
| Street Address |
721 RICHLAND AVE W SUITE 100 |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-2438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487631487 | Mackie J Walker Jr. | Podiatrist | 721 Richland Ave W, Suite 100, Aiken, SC 29801-3831 | 2005-12-30 |
| 1902162803 | Carolina Musculoskeletal Institute Pa | Non-Pharmacy Dispensing Site | 721 Richland Ave W, Ste 100, Aiken, SC 29801-2438 | 2012-04-04 |
| 1598808628 | Carolina Podiatric Medical Associates, P.a. | Podiatrist | 721 Richland Ave W, Suite 100, Aiken, SC 29801-3831 | 2007-02-15 |
| 1194870998 | Fischbach Family Medicine & Opthamology | Family Medicine | 721 Richland Ave W, Suite 200, Aiken, SC 29801-3831 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487631487 | Mackie J Walker Jr. | Podiatrist | 721 Richland Ave W, Suite 100, Aiken, SC 29801-3831 | 2005-12-30 |
| 1932413614 | Angela Hope Molnar | Podiatrist | 410 University Pkwy, Suite 1000, Aiken, SC 29801-6810 | 2010-08-04 |
| 1497947733 | Benjamin Cohen | Podiatrist | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2007-08-10 |
| 1598808628 | Carolina Podiatric Medical Associates, P.a. | Podiatrist | 721 Richland Ave W, Suite 100, Aiken, SC 29801-3831 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
| 1285006981 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 700 N A St, Easley, SC 29640-2142 | 2015-10-21 |
| 1598136996 | Gregory Santamaria | Podiatrist | 1112 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3131 | 2015-10-12 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| 1952727992 | Genesis Foot & Leg Specialists, LLC | Podiatrist | 21563 Wyhte Hardee Blvd, Hardeeville, SC 29927 | 2014-03-14 |
| 1922424423 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 166 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2014-03-09 |
| 1255756797 | Foot Clinic of South Carolina, LLC | Podiatrist | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2014-02-20 |
| 1144645722 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 1 Medical Park Dr Ste C, Chester, SC 29706-9769 | 2014-02-19 |
| 1699190272 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 9789 Charlotte Hwy Ste 200, Fort Mill, SC 29707-7182 | 2014-02-19 |
| Find all providers with the same taxonomy | ||||
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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.