NICOLE ELIZABETH KENNEDY (NPI# 1427569987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427569987 |
| Entity Type | Individual |
| Full Name | NICOLE ELIZABETH KENNEDY |
| Credential | PHARMD |
| Practice Address |
343 Pinewood Rd Sumter SC 29150-5442 |
| Mailing Address |
345 Edenwood Dr Sumter SC 29154-8141 |
| Practice Telephone | 8033056237 |
| Mailing Telephone | 8034642050 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2019-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 37399 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NPI | 1427569987 | 01 |
| SC | SC PHARMACY LICENSE | 37399 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 Bultman Dr, Sumter, SC 291502514 | 8033056194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231174 | Nicole L Kennedy | Specialist | 5225 Sandusky Rd, Lima, OH 45801-8734 | 2015-12-28 |
| 1730412958 | Nicole Dyan Kennedy | Physician Assistant | 850 East Harvard Avenue, Suite 285, Denver, CO 80210 | 2009-09-08 |
| 1528145398 | Nicole Celeste Kennedy | Physical Therapist | 612 W Carolina Ave, Hartsville, SC 29550-4410 | 2006-11-01 |
| 1649232372 | Nicole Shuff Kennedy | Nurse Practitioner | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2006-04-06 |
| 1659996783 | Nicole Kennedy | Student in an Organized Health Care Education/Training Program | 399 Lincoln Rd, Walpole, MA 02081-1218 | 2020-06-15 |
| 1568942415 | Nicole Rose Kennedy | Student in an Organized Health Care Education/Training Program | 1014 Main Street, Vancouver, WA 98660 | 2018-08-20 |
| 1164913489 | Nicole Marie Kennedy | Counselor | 221 Hamilton St, Ogdensburg, NY 13669-1707 | 2018-05-22 |
| 1295236842 | Nicole Jean Kennedy | Counselor | 4410 Arapahoe Ave Ste 205, Boulder, CO 80303-1155 | 2018-02-27 |
| 1487169371 | Nicole Kennedy | Chiropractor | 5253 Ne Sandy Blvd, Portland, OR 97213-2562 | 2017-12-13 |
| 1952843252 | Nicole K.a. Kennedy | Social Worker | 141 Columbus Rd, Athens, OH 45701-1315 | 2016-11-17 |
| Street Address |
343 PINEWOOD RD |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-5442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| 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 |
|---|---|---|---|---|
| 1427409473 | Margaret Prince | Pharmacist | 556 Pittman Dr, Sumter, SC 29154-9467 | 2016-06-30 |
| 1477911147 | Ruth Strong Cummings | Pharmacist | 630 Saint Augustine Dr, Sumter, SC 29150-6020 | 2016-02-09 |
| 1710237243 | Braudy Emerson Byrd IIi | Pharmacist | 41 E. Calhoun St, Sumter, SC 29150 | 2012-09-12 |
| 1619235520 | Deja Vonelle Johnson | Pharmacist | 515 E Emerald Lake Dr, Sumter, SC 29153-7427 | 2012-04-27 |
| 1437421930 | Douglas Peters | Pharmacist | 1143 Broad St, Sumter, SC 29150-1971 | 2012-01-31 |
| 1598036147 | Dena Cribb Fender | Pharmacist | 2055 Wedgefield Rd, Sumter, SC 29154-4654 | 2012-01-12 |
| 1023398369 | Tiffany Dawn Howell | Pharmacist | 375 Pinewood Road, Sumter, SC 29150 | 2011-08-18 |
| 1518255132 | Joseph Edward Mcleod | Pharmacist | 225 N Washington St, Sumter, SC 29150-4204 | 2011-07-17 |
| 1376850735 | Ashley Nicole Swindler | Pharmacist | 375 Pinewood Rd, Sumter, SC 29150-5442 | 2010-09-08 |
| 1679889430 | Suzanne Griffin | Pharmacist | 1077 Broad St, Sumter, SC 29150-2504 | 2010-08-30 |
| Find all providers in SUMTER | ||||
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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.