LAVETRA SIMS (NPI# 1073996286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073996286 |
| Entity Type | Individual |
| Full Name | LAVETRA SIMS |
| Practice Address |
323 Longtown Rd W Blythewood SC 29016-8166 |
| Practice Telephone | 8037274811 |
| Mailing Telephone | 8037274811 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| 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 |
35662 | SC | Pharmacy Service Providers |
| Street Address |
323 LONGTOWN RD W |
| City | BLYTHEWOOD |
| State | SC |
| Zip Code | 29016-8166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151870 | Soo Ji Mun | Student in an Organized Health Care Education/Training Program | 3049 Gedney Circle, Blythewood, SC 29016 | 2020-07-09 |
| 1427600196 | Josie Gandy Drew Britt | Speech-Language Pathologist | Langford Elementary, 480 Langford Road, Blythewood, SC 29016 | 2019-07-12 |
| 1740843093 | Helping Hearts Development Corporation | In Home Supportive Care | 311 Blythewood Road, Blythewood, SC 29016 | 2019-04-22 |
| 1063933125 | Shawn Tyler | Registered Nurse | 1017 Fulmer Road, Blythewood, SC 29016 | 2017-06-29 |
| 1497290852 | Carolina Roses of Blythewood LLC | Community Based Residential Treatment Facility, Mental Illness | 5338 Hardscrabble Rd, Blythewood, SC 29016 | 2016-12-21 |
| 1598129512 | Brooke L. Green | Physical Therapy Assistant | 428-3 Mcnulty Road, Blythewood, SC 29016 | 2016-04-06 |
| 1922468909 | Prince George Transport | Ambulance | 200 Louthian Way, Blythewood, SC 29016 | 2016-03-03 |
| 1760849459 | Sherry Macaluso | Counselor | 2008 Old Birch Drive, Blythewood, SC 29016 | 2016-01-26 |
| 1851559629 | John C Cosby Jr Dmd Pa | Dentist | 745 University Village Drive, Blythewood, SC 29016 | 2008-05-29 |
| 1427242031 | Fairfield Medical Associates,pa | Specialist | 428 2 Mcnulty Road, Blythewood, SC 29016 | 2007-08-28 |
| Find all providers in zip 29016 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1649524034 | Lisa Louise Stokes | Pharmacist | 510 Camellia Cir, Florence, SC 29501-5772 | 2012-11-06 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEWOOD |
| Zip Code | 29016 |
Please comment or provide details below to improve the information on LAVETRA SIMS.
| 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.