PHYLLIS MINGO (NPI# 1063011559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063011559 |
| Entity Type | Individual |
| Full Name | PHYLLIS MINGO |
| Credential | PHARM. D. |
| Practice Address |
175 Patewood Dr Greenville SC 29615-3570 |
| Practice Telephone | 8647970080 |
| Practice Fax Number | 8647970085 |
| Mailing Telephone | 8647970080 |
| Mailing Fax Number | 8647970085 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9332 | SC | Pharmacy Service Providers |
| Street Address |
175 PATEWOOD DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568532513 | Greenville Health System | General Acute Care Hospital | 175 Patewood Dr, Greenville, SC 29615-3570 | 2006-11-08 |
| 1801497458 | Lance Marcel Mcclester | Pharmacist | 175 Patewood Dr, Greenville, SC 29615-3570 | 2020-11-02 |
| 1942809710 | Jacqueline Ann Califano Piccirilli | Pharmacist | 175 Patewood Dr, Greenville, SC 29615-3570 | 2020-10-22 |
| 1609425545 | Leanna Nicole Corley | Nurse Practitioner | 175 Patewood Dr, Greenville, SC 29615-3570 | 2019-09-04 |
| 1124574223 | Prisma Health-upstate | General Acute Care Hospital | 175 Patewood Dr, Greenville, SC 29615-3570 | 2016-08-29 |
| 1871972166 | Justin Keith | Specialist/Technologist | 175 Patewood Dr, Greenville, SC 29615-3570 | 2015-05-20 |
| 1144634353 | Allison Marie Carman | Nurse Practitioner | 175 Patewood Dr, Greenville, SC 29615-3570 | 2014-06-16 |
| 1891133203 | Austen Lane Carter | Pediatrics | 175 Patewood Dr, Greenville, SC 29615 | 2013-06-07 |
| 1285963587 | Pamela Suzanne Harmon | Nurse Practitioner | 175 Patewood Dr, Greenville, SC 29615-3570 | 2009-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| 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 |
|---|---|---|---|---|
| 1457963092 | Aericka Oneal | Pharmacist | 101 Greenville Bypass, Greenville, AL 36037 | 2020-08-17 |
| 1558983486 | Matthew Klieforth | Pharmacist | N2345 Weatherhill Ct, Greenville, WI 54942-8070 | 2020-05-14 |
| 1619596160 | Anna K Lee | Pharmacist | 9665 Highway 150, Greenville, IN 47124-9233 | 2020-04-14 |
| 1255960415 | Randall Lewis Clark | Pharmacist | 43 Williamson Rd Ste B, Greenville, PA 16125-1224 | 2020-04-08 |
| 1598320657 | Byeori Kim | Pharmacist | 2953 Beunavista Ct, Greenville, NC 27834-6237 | 2019-05-04 |
| 1528524212 | Taylor Matthew Sanders | Pharmacist | 103 Gilstrap Dr, Greenville, SC 29609-3124 | 2019-02-18 |
| 1407322423 | Doree Richardson | Pharmacist | 200 Patewood Dr Ste B150, Greenville, SC 29615-6339 | 2018-10-17 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1225537996 | Andrew Brown | Pharmacist | 500 Guilder Ln, Greenville, NC 27858-6580 | 2018-02-07 |
| 1235644030 | Rebecca Ann Knowles | Pharmacist | 4852 Route 81, Greenville, NY 12083 | 2017-12-04 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on PHYLLIS MINGO.
| 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.