DR. KENZIE HACKETT


Address: 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987
Phone: 8037764000

DR. KENZIE HACKETT (NPI# 1457739344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457739344
Entity Type Individual
Full Name DR. KENZIE HACKETT
Credential PHARMD
Practice Address 1822 Sally Hill Farms Blvd
Florence
SC 29501-6987
Mailing Address 6439 Garners Ferry Rd
Pharmacy 119
Columbia
SC 29209-1638
Practice Telephone 8037764000
Mailing Telephone 8037764000
Enumeration Date 2015-05-11
Last Update Date 2016-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist PH234754 MA Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH234754 MA Pharmacy Service Providers

Office Location

Street Address 1822 SALLY HILL FARMS BLVD
City FLORENCE
State SC
Zip Code 29501-6987

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588617815 Columbia Vamc Clinic/Center 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 2006-05-18
1962988691 Gini G Moore Nurse Practitioner 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 2018-07-16
1659705994 Diane Wininger Psychologist 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 2013-08-22
1548502131 Patrick Weiyun Fong Internal Medicine 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 2013-03-21
1851697825 Amy Phillips Smith Psychologist 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 2011-02-08
1982904074 Kathryn Lee Walker Registered Nurse 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 2010-10-24
1831405992 Jillian Nicole Wilkes Pharmacist 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 2010-08-27
1679712954 Al Coldtrain Counselor 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 2009-02-11
1285747162 Eric P. Naumann Family Medicine 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 2006-08-16
1417964685 C. Bliss Webb Family Medicine 1822 Sally Hill Farms Blvd, Florence, SC 29501-6987 2006-08-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700350444 Angel Edwards Brown Nurse Practitioner Mcleod Health, 555 East Cheves Street, Florence, SC 29501 2019-01-16
1497229124 Fred L. Evans IIi Physical Therapy Assistant 2439 Willwood Dr., Florence, SC 29501 2019-01-16
1841715596 Faith Hope Love Homecare Home Health 604 S. Coit Street, Florence, SC 29501 2017-08-03
1083156350 Karen Artis-bacote Nurse Practitioner 3835 Susan Dr, Florence, SC 29501 2016-11-17
1992251581 Higher Ground Christian Counseling Service, LLC Counselor 1801 D West Evans Street, Florence, SC 29501 2016-09-01
1952752818 Jack Carter Shackelford Chiropractor 311 West Palmetto Street, Florence, SC 29501 2016-06-22
1750743506 Profection Therapy LLC Clinic/Center 315d North Beltline Dr., Florence, SC 29501 2016-03-22
1386002467 Bergelt Optometric LLC Optometrist 2672 David Mcleod Blvd, Florence, SC 29501 2016-02-04
1437531993 Sherika Tarshall Stuckey Nurse Practitioner 720 Coventry Lane, Apt C, Florence, SC 29501 2015-06-22
1245610062 Christopher Tyree Podiatrist 709 W Evans St, Florence, SC 29501 2015-06-06
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649524034 Lisa Louise Stokes Pharmacist 510 Camellia Cir, Florence, SC 29501-5772 2012-11-06
1104443332 Teanna Nichole Nixon Pharmacist 4900 Houston Rd, Florence, KY 41042-4824 2020-07-04
1912423153 Mary Vivas Dail Pharmacist 200 N Beltline Dr, Florence, SC 29501-7403 2017-08-18
1194260539 Robert Evan Nix Pharmacist 144 N Ravenel St, Florence, SC 29506-2641 2016-12-20
1245657238 James Flynn Pharmacist 2498 2nd Loop Rd, Florence, SC 29501-6162 2014-03-27
1184045817 Megan Kappes Pharmacist 4990 Houston Rd, Meijer Pharmacy #151, Florence, KY 41042-4851 2013-12-24
1447596531 Bradley Edward Schmidt Pharmacist 4900 Houston Rd, Florence, KY 41042-4824 2012-12-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649898099 Jonathan Eric Kelly Pharmacist 150 Ashley Ave # Msc584, Charleston, SC 29425-8907 2020-07-13
1912521048 Adrienne Z Ables Pharmacist 1703 John B White Sr Blvd, Spartanburg, SC 29301-5486 2020-06-04
1437783230 Erica Yelton Pharmacist 1325 Miller Rd Ste K, Greenville, SC 29607-6541 2020-03-02
1083191597 Annette Goodwin Walker Pharmacist 18 Canso St, Greenville, SC 29607-6414 2018-07-26
1184149056 Chandler Joyce Adkins Pharmacist 405b E Greer St, Honea Path, SC 29654-1820 2017-08-11
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1659757649 Marc Edmundson Pharmacist 500 Gills Creek Pkwy #810, Columbia, SC 29209 2015-08-03
1073996286 Lavetra Sims Pharmacist 323 Longtown Rd W, Blythewood, SC 29016-8166 2015-07-07
1851700926 Heather Hummel Pharmacist 1020 Orange Grove Rd, Charleston, SC 29407-3756 2014-08-04
1952724718 Alyson Browning Pharmacist 5 Richland Medical Park Drive, Columbia, SC 29203 2014-01-30
Find all providers with the same taxonomy

Competitor

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City FLORENCE
Zip Code 29501

Improve Information

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Dataset Information

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.

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