TRACIE M. MIMS


Address: 1123 Banks Mill Rd, Aiken, SC 29803-2809
Phone: 8036481313

TRACIE M. MIMS (NPI# 1467443697) 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) 1467443697
Entity Type Individual
Full Name TRACIE M. MIMS
Credential PHARM. D., R.PH.
Practice Address 1123 Banks Mill Rd
Aiken
SC 29803-2809
Mailing Address 907 Woodland Dr
New Ellenton
SC 29809-2812
Practice Telephone 8036481313
Mailing Telephone 8036481313
Mailing Fax Number 8036499494
Enumeration Date 2005-11-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 9641 SC Pharmacy Service Providers

Office Location

Street Address 1123 BANKS MILL RD
City AIKEN
State SC
Zip Code 29803-2809

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871147454 Augusta Oncology Associates, P.C. Specialist 222 University Parkway, Aiken, SC 29803 2019-07-31
1356804546 Ebony Johnson Home Health Aide 942 C Dougherty Rd, Aiken, SC 29803 2019-04-13
1689144230 Tabatha Lee Maddox Occupational Therapist 550 East Gate Dr, Aiken, SC 29803 2018-11-27
1962995100 Pvd Internal Medicine Associates LLC Internal Medicine 440 Society Hill Dr Ste B, Aiken, SC 29803 2018-06-12
1689197691 Trent David Yoder Dentist 174 Crepe Myrtle Drive, Aiken, SC 29803 2017-07-21
1770039331 Lauren Reigot Physical Therapist 6140 Woodside Executive Ct., Aiken, SC 29803 2016-09-01
1851747190 Umg Primary Care South Carolina, LLC Family Medicine 1023 Silver Bluff Road, Aiken, SC 29803 2016-05-05
1912375759 Lisa G Browning Nurse Practitioner 550 E. Gate Drive, Aiken, SC 29803 2015-09-10
1346682754 Tyresia Jovon White Dentist 440 Society Hill Dr Ste 201, Aiken, SC 29803 2013-07-25
1528327483 Caresouth Hospice, LLC Hospice Care, Community Based 37 Varden Drive, Suite B, Aiken, SC 29803 2012-05-14
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124578430 Rachel Cox Pharmacist 111 Oakcrest Ln, Aiken, SC 29803-5018 2016-10-11
1881070423 Clark A Najmon Pharmacist 501 Greengate Cir, Apt P, Aiken, SC 29803-7476 2015-08-05
1235512898 Janet Elizabeth Crook Pharmacist 2181 Whiskey Rd, Aiken, SC 29803-6138 2015-07-01
1588912489 Gary Wayne Anderson Pharmacist 1041 York St, Aiken, SC 29801-4025 2012-08-27
1639427420 Paul Richard Bookstaver Pharmacist 1638 Richland Ave W, Aiken, SC 29801-3236 2012-08-27
1356613285 Adriana M Haltiwanger Pharmacist 670 Oak Meadow Ln, Aiken, SC 29803-8742 2012-02-08
1902194244 Caitlin Nicole Palker Pharmacist 1933 Lundee Dr, Aiken, SC 29803-5707 2011-07-20
1912157348 Rajendra K. Tamrakar Pharmacist 403 Churchill Cir, Aiken, SC 29803-7942 2008-09-22
1205058286 Alisa B. Burrell Pharmacist 333 Newberry St, Aiken, SC 29801-3929 2007-05-02
1871139279 Hannah Yong Kim Pharmacist 2035 Whiskey Rd, Aiken, SC 29803-7956 2019-11-20
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Competitor

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City AIKEN
Zip Code 29803

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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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