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).
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 |
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 |
Street Address |
1822 SALLY HILL FARMS BLVD |
City | FLORENCE |
State | SC |
Zip Code | 29501-6987 |
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 |
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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 |
Find all providers in zip 29501 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
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 |
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 |
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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.