MRS. ELIZABETH ROLLER DORNBLASER (NPI# 1053665265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053665265 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH ROLLER DORNBLASER |
| Practice Address |
2500 Broad St Camden SC 29020-2225 |
| Mailing Address |
Po Box 2131 868 Cottesmore Lane Camden SC 29020-8003 |
| Practice Telephone | 8034325103 |
| Mailing Telephone | 8034241480 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
4680 | SC | Pharmacy Service Providers |
| Street Address |
2500 BROAD ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023111895 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2500 Broad St, Camden, SC 29020-2225 | 2006-09-07 |
| 1760906242 | Jonathan Banks | Pharmacist | 2500 Broad St, Camden, SC 29020-2225 | 2017-07-27 |
| 1346598364 | Jamie Truesdale | Pharmacist | 2500 Broad St, Camden, SC 29020-2225 | 2012-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| 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 |
|---|---|---|---|---|
| 1467091215 | Andrea Markham | Pharmacist | 2200 Highway 641 N, Camden, TN 38320-5276 | 2019-12-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.