NATHAN O'DELL (NPI# 1902413024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902413024 |
| Entity Type | Individual |
| Full Name | NATHAN O'DELL |
| Practice Address |
10 Mcclennan Banks Dr Charleston SC 29425-0001 |
| Mailing Address |
1407 Cambridge Lakes Dr Mount Pleasant SC 29464-7302 |
| Practice Telephone | 8439852358 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0200X |
Pharmacist Specialization: Pediatrics |
12077 | SC | Pharmacy Service Providers |
| Street Address |
10 MCCLENNAN BANKS DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666035 | Amanda Louise Clark | Registered Nurse | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-03-28 |
| 1861093965 | Caitlyn Chimento | Registered Nurse | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-11-04 |
| 1043835531 | Johnny Dean Phillips IIi | Pediatrics | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-06-10 |
| 1366065021 | Nicholas B Aizcorbe | Pediatrics | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-05-28 |
| 1699395087 | Ryan Michael Vesper | Pharmacist | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 1835P0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pediatrics |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502248 | Al Lionel Deveaux Jr. | Pharmacist | 1 Poston Rd Ste 105, Charleston, SC 29407-3466 | 2020-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172654 | Kimberly Mcdowell | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-21 |
| 1427657527 | Bethany Lynch | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-20 |
| City | CHARLESTON |
| Zip Code | 29425 |
Please comment or provide details below to improve the information on NATHAN O'DELL.
| 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.