DR. JOHN DAVID HAITHCOCK (NPI# 1689975245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689975245 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID HAITHCOCK |
| Credential | PHARM.D. |
| Practice Address |
2035 Highway 41 Mt. Pleasant SC 29466 |
| Practice Telephone | 8439712075 |
| Mailing Telephone | 8439712075 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11801 | SC | Pharmacy Service Providers |
| Street Address |
2035 HIGHWAY 41 |
| City | MT. PLEASANT |
| State | SC |
| Zip Code | 29466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| 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 |
|---|---|---|---|---|
| 1346556032 | Gregory Bailey | Pharmacist | Rt 819 S, Mt. Pleasant, PA 15666 | 2010-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083828 | David Ephriam Wilson V | Pharmacist | 4099 Red Bluff Rd, Loris, SC 29569-6238 | 2020-11-05 |
| 1609475458 | Douglas Hansford Netterville | Pharmacist | 248 Ivy Woods Ct, Fountain Inn, SC 29644-9256 | 2020-10-22 |
| 1497354385 | Caroline Gardner | Pharmacist | 1062 10th Ave, Aynor, SC 29511 | 2020-10-21 |
| 1972100246 | Meet Patel | Pharmacist | 210 Mcphail Farms Cir, Anderson, SC 29621-2579 | 2020-10-08 |
| 1780281170 | Hannah L Russell | Pharmacist | 2954 Eppington South Dr, Fort Mill, SC 29708-6949 | 2020-10-08 |
| 1235736133 | Renisha Rabara | Pharmacist | 2742 Disney Pl, Indian Land, SC 29707-5957 | 2020-10-04 |
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1003423377 | Terri Donofrio | Pharmacist | 5678 Captain Kidd Rd, Hollywood, SC 29449-6801 | 2020-09-30 |
| 1194331280 | Bryan Sabo | Pharmacist | 4361 Sc-24, Anderson, SC 29626 | 2020-09-23 |
| 1770198798 | Donnie Eric Ridings | Pharmacist | 471 Waterford Point Dr, Boiling Springs, SC 29316-7721 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | MT. PLEASANT |
| Zip Code | 29466 |
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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.