MS. KELLY SUSAN LARKIN (NPI# 1114072576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114072576 |
Entity Type | Individual |
Full Name | MS. KELLY SUSAN LARKIN |
Practice Address |
109 N Main St Greer SC 29650-1921 |
Mailing Address |
6 Rollingreen Rd Greer SC 29651-5975 |
Practice Telephone | 8648770753 |
Practice Fax Number | 8648775171 |
Mailing Telephone | 8643201264 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183700000X | Pharmacy Technician | 23882 | SC | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | SCDHEC-BUREAU OF DRUG CON | 10-03095 | 01 |
SC | 730956 | 05 | |
SC | DEA | BM4276805 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861844698 | Kelly Larkin | Counselor | 811 Corvallis Ct., Ellisville, MO 63021-4767 | 2016-07-05 |
1952457913 | Kelly Noelle Larkin | Dentist | 1008 N Cherry St, Tulare, CA 93274-2212 | 2007-01-25 |
1104220821 | Kelly Larkin | Community Health Worker | 4773 Caughlin Pkwy Ste 2, Reno, NV 89519-1012 | 2014-10-09 |
1497040471 | Kelly Lynn Larkin | Ophthalmology | 2855 Gramercy St, Houston, TX 77025 | 2011-06-17 |
1144205683 | Kelly Jean Larkin | Emergency Medicine | 6720 Bertner St, Houston, TX 77030-2604 | 2005-12-07 |
Street Address |
109 N MAIN ST |
City | GREER |
State | SC |
Zip Code | 29650-1921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154797751 | Margaret Funderburk Blauert | Pharmacist | 109 N Main St, Greer, SC 29650-1921 | 2015-08-18 |
1386983625 | James E Wall | Pharmacist | 109 N Main St, Greer, SC 29650-1921 | 2013-02-06 |
1932447844 | Rachel Godfrey | Pharmacy Technician | 109 N Main St, Mcleskey Todd Pharmacy of Greer, Greer, SC 29650 | 2013-01-28 |
1003197948 | Allison Deshields Brockman | Pharmacist | 109 N Main St, Greer, SC 29650 | 2011-09-06 |
1861640096 | Denise M Bishop | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2008-08-29 |
1326172016 | Mcleskey-todd Pharmacy of Greer Inc | Durable Medical Equipment & Medical Supplies | 109 N Main St, Greer, SC 29650-1921 | 2007-03-15 |
1962530329 | Annie Fowler | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-02-28 |
1366581985 | Chelsea Morgan Fowler | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-02-06 |
1841345758 | Jerri W Wood | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-01-24 |
1629123088 | Christopher Allen | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-01-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
Find all providers in zip 29650 |
Taxonomy Code | 183700000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacy Technician |
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184607434 | Jaime Mincey Smith | Pharmacy Technician | 408 Memorial Drive Ext, Greer, SC 29651-1818 | 2005-11-21 |
1932447844 | Rachel Godfrey | Pharmacy Technician | 109 N Main St, Mcleskey Todd Pharmacy of Greer, Greer, SC 29650 | 2013-01-28 |
1861640096 | Denise M Bishop | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2008-08-29 |
1962530329 | Annie Fowler | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-02-28 |
1366581985 | Chelsea Morgan Fowler | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-02-06 |
1841345758 | Jerri W Wood | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-01-24 |
1629123088 | Christopher Allen | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-01-24 |
1487709036 | Deborah Lynn Owensby | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-01-24 |
1336293661 | Betty Taylor | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-01-23 |
1679627970 | Pamela Cline Blanton | Pharmacy Technician | 109 N Main St, Greer, SC 29650-1921 | 2007-01-23 |
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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.