PRESBYTERIAN COLLEGE (NPI# 1710273594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710273594 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN COLLEGE |
| Other Organization Name | SCHOOL OF PHARMACY; PCSP DIABETES CENTER; PCSP WELLNESS CENTER |
| Practice Address |
307 N Broad St Clinton SC 29325-2305 |
| Practice Telephone | 8649383900 |
| Mailing Telephone | 8649383900 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |
| Authorized Official Name | DR. RICHARD E. STULL (DEAN) |
| Authorized Official Telephone | 8649383901 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESBYTERIAN COLLEGE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
11110 | SC | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| School of Pharmacy; PCSP Diabetes Center; PCSP Wellness Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRESBYTERIAN COLLEGE | 503 S Broad St, Clinton, SC 29325-2865 |
| System for Award Management (SAM) Entities | PRESBYTERIAN COLLEGE REAL ESTATE FOUNDATION | 403 S Adair St, Clinton, SC 29325-2902 |
| Street Address |
307 N BROAD ST |
| City | CLINTON |
| State | SC |
| Zip Code | 29325-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063642288 | Kayce Shealy | Pharmacist | 307 N Broad St, Clinton, SC 29325-2305 | 2009-07-22 |
| 1831695626 | Presbyterian College Community Care Pharmacy | Pharmacy | 307 N Broad St, Clinton, SC 29325-2305 | 2018-04-02 |
| 1538660931 | Pc Community Care Pharmacy | Pharmacy | 307 N Broad St, Clinton, SC 29325-2305 | 2018-02-22 |
| 1073890992 | Charles Dean Shively | Pharmacist | 307 N Broad St, Clinton, SC 29325-2305 | 2011-11-06 |
| 1205123569 | Zachary Anderson | Pharmacist | 307 N Broad St, Clinton, SC 29325-2305 | 2011-07-06 |
| 1750687489 | Edith Ann Stull | Pharmacist | 307 N Broad St, Clinton, SC 29325-2305 | 2011-01-27 |
| 1841510484 | Katherine Gerrald Moore | Pharmacist | 307 N Broad St, Clinton, SC 29325-2305 | 2010-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353100 | Mason Paige Gambrell | Student in an Organized Health Care Education/Training Program | 107 Shellcreek Ct, Clinton, SC 29325 | 2020-07-07 |
| 1386207975 | Tammy Binger | Registered Nurse | 22725 U.S. 76, Clinton, SC 29325 | 2019-04-18 |
| 1154828945 | Lillian Smith | Physical Therapy Assistant | Nhc Clinton, 304 Jacobs Highway, Clinton, SC 29325 | 2018-04-09 |
| 1134519366 | Nora Pace | Specialist/Technologist | 18132 Hwy 72 E, Clinton, SC 29325 | 2015-01-26 |
| 1497186845 | John M. Griz | Orthopaedic Surgery | 22971 Hwy 76e, Clinton, SC 29325 | 2013-12-11 |
| 1992131171 | Sharon Kay Stoia | Occupational Therapist | 600 Plaza Circle, Clinton, SC 29325 | 2013-09-19 |
| 1578800256 | Hayes Ambulance Service LLC | Ambulance | 2143 Torrington Road, Clinton, SC 29325 | 2013-01-14 |
| 1083943518 | Margaret Estelle Shreve | Chiropractor | 209 Musgrove St, Clinton, SC 29325 | 2009-12-11 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1285821587 | Assisted Living Concepts Inc | Assisted Living Facility | 939 Springdale Drive, Clinton, SC 29325 | 2007-10-01 |
| Find all providers in zip 29325 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245515949 | An Duc Dang | Pharmacist | 405 Concord Dr, Clinton, MS 39056-5703 | 2011-10-14 |
| 1255434064 | Joseph Preston Bryant | Pharmacist | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2006-09-07 |
| 1962512897 | Clinton Thriftway Pharmacy | Pharmacist | 129 Bone St., Clinton, AR 72031-1060 | 2006-08-30 |
| 1841233103 | Julie Marie Sease | Pharmacist | 245 Human Services Rd, Clinton, SC 29325-7548 | 2006-06-14 |
| 1205123569 | Zachary Anderson | Pharmacist | 307 N Broad St, Clinton, SC 29325-2305 | 2011-07-06 |
| 1669797973 | Ryan Miglin | Pharmacist | 39 Meadow St, Clinton, NY 13323-1625 | 2010-03-30 |
| 1497944102 | Cassandra Brockelman | Pharmacist | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2007-10-18 |
| 1346338910 | Julie Denise Boese | Pharmacist | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2006-10-10 |
| 1851374771 | Patricia F. Rodgers | Pharmacist | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2005-11-23 |
| 1194723015 | Jamie Lyn Shaddon | Pharmacist | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2005-07-13 |
| Find all providers in CLINTON | ||||
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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.