MR. AVERITTE BURNEY PACE JR. (NPI# 1063787547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063787547 |
| Entity Type | Individual |
| Full Name | MR. AVERITTE BURNEY PACE JR. |
| Credential | PHARMACY BS |
| Practice Address |
116 S Main St Nichols SC 29581-0207 |
| Mailing Address |
Po Box 207 401 South Nichols Street Nichols SC 29581-0207 |
| Practice Telephone | 8435262171 |
| Practice Fax Number | 8435261705 |
| Mailing Telephone | 8435262257 |
| Mailing Fax Number | 8435261705 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3526 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PHARMACIST | 3526 | 01 |
| Street Address |
116 S MAIN ST |
| City | NICHOLS |
| State | SC |
| Zip Code | 29581-0207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609994060 | Mobile Medical Care Inc | General Practice | 210 S Nichols St, Nichols, SC 29581 | 2007-03-26 |
| 1972904472 | Pamela Ann Hills | Contractor | 403 South Nichols Street, Nichols, SC 29581-0232 | 2014-09-16 |
| 1902947872 | Mobile Medical Care, Inc. | Hospice Care, Community Based | 210 South Nichols Street, Nichols, SC 29581-0392 | 2007-02-12 |
| 1992771463 | Cynthia S Fogle | Nurse Practitioner | 3600 Old Stage Rd, Nichols, SC 29581-4724 | 2006-02-24 |
| 1336790039 | Ernestine Strickland | Technician | 2770 Nichols Hwy N, Nichols, SC 29581-5014 | 2019-09-24 |
| 1225422983 | Palmetto Moon Counseling and Consulting Services | Community/Behavioral Health | 6920 Highway 76, Nichols, SC 29581-5334 | 2015-03-20 |
| 1063937480 | Harley Home Care | Home Health | 136 Aloha Dr, Nichols, SC 29581-7028 | 2017-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790039 | Ernestine Strickland | Technician | 2770 Nichols Hwy N, Nichols, SC 29581-5014 | 2019-09-24 |
| 1396307948 | Crystal Lynn Milner | Home Health Aide | 178 W River Rd, Nichols, NY 13812-2104 | 2019-07-03 |
| 1740849108 | Angel Beebe | Home Health Aide | 521 Red Brush Rd, Nichols, NY 13812-4221 | 2019-06-10 |
| 1063937480 | Harley Home Care | Home Health | 136 Aloha Dr, Nichols, SC 29581-7028 | 2017-08-07 |
| 1225422983 | Palmetto Moon Counseling and Consulting Services | Community/Behavioral Health | 6920 Highway 76, Nichols, SC 29581-5334 | 2015-03-20 |
| 1972904472 | Pamela Ann Hills | Contractor | 403 South Nichols Street, Nichols, SC 29581-0232 | 2014-09-16 |
| 1295062529 | Jessica Anne Johnston | Specialist/Technologist | 3129 E River Rd, Nichols, NY 13812-3224 | 2009-11-06 |
| 1811148281 | Miriam S Zucker | Pediatrics | 1960 Elder Ave, Nichols, IA 52766-9564 | 2008-10-03 |
| 1447429196 | Sharon Lynn Hammond | Licensed Practical Nurse | 71 Pamela Dr, Nichols, NY 13812-3247 | 2008-02-27 |
| 1609994060 | Mobile Medical Care Inc | General Practice | 210 S Nichols St, Nichols, SC 29581 | 2007-03-26 |
| Find all providers in NICHOLS | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.