MR. JOEL CHANDLER LISTA (NPI# 1134173784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134173784 |
| Entity Type | Individual |
| Full Name | MR. JOEL CHANDLER LISTA |
| Credential | RPH |
| Practice Address |
3725 Rivers Ave Suite 2 N Charleston SC 29405-7038 |
| Mailing Address |
523 Schooner Rd Charleston SC 29412-8934 |
| Practice Telephone | 8437458650 |
| Practice Fax Number | 8435545453 |
| Mailing Telephone | 8437458650 |
| Mailing Fax Number | 8435545453 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5947 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RPH | 5947 | 01 |
| Street Address |
3725 RIVERS AVE SUITE 2 |
| City | N CHARLESTON |
| State | SC |
| Zip Code | 29405-7038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669756417 | Jared Samuel Dickerson | Pharmacist | 3725 Rivers Ave, Suite 2, N Charleston, SC 29405-7038 | 2011-09-28 |
| 1053624700 | Amy D Warner | Pharmacist | 3725 Rivers Ave, Suite 2, N Charleston, SC 29405-7038 | 2010-07-23 |
| 1871745885 | Eric Gene Urowsky | Pharmacist | 3725 Rivers Ave, Suite 2, N Charleston, SC 29405-7038 | 2008-10-21 |
| 1962654541 | Kimberly D. Smith | Pharmacist | 3725 Rivers Ave, Suite 2, N Charleston, SC 29405-7038 | 2008-10-15 |
| 1457501322 | James Lewis West | Pharmacist | 3725 Rivers Ave, Suite 2, N Charleston, SC 29405-7038 | 2008-09-26 |
| 1023268539 | Marion B Smith | Pharmacist | 3725 Rivers Ave, Suite 2, N Charleston, SC 29405-7038 | 2008-09-22 |
| 1407010150 | Thomas Eugene Sherer | Pharmacist | 3725 Rivers Ave, Suite 2, N Charleston, SC 29405-7038 | 2008-07-11 |
| 1831353796 | Wendy Owen Cordina | Pharmacist | 3725 Rivers Ave, Suite C, N Charleston, SC 29405-7038 | 2008-07-10 |
| 1811168420 | Gary Crickenberger | Pharmacist | 3725 Rivers Ave, N Charleston, SC 29405-7038 | 2008-03-22 |
| 1598712895 | Michael C Jacobs | Pharmacist | 3725 Rivers Ave, Suite 2, N Charleston, SC 29405-7038 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| 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 |
|---|---|---|---|---|
| 1134311814 | Keisha Green | Pharmacist | 7724 Buck Pond Rd, N Charleston, SC 29418-2127 | 2007-08-15 |
| 1306063102 | Troy J Winslow | Pharmacist | 3725 Rivers Ave Ste 2, N Charleston, SC 29405-7038 | 2007-04-20 |
| 1548257215 | Kristy Lynn Brittain | Pharmacist | 5060 International Blvd, Suite 102, N Charleston, SC 29418-6008 | 2005-09-28 |
| 1073058418 | Susan Easterly | Pharmacist | 8571 Rivers Ave, N Charleston, SC 29406-9208 | 2016-12-20 |
| 1063897007 | Ashton Glasgow | Pharmacist | 2500 Elms Center Rd, N Charleston, SC 29406-9844 | 2015-07-20 |
| 1033526637 | Justin Franklin Brown | Pharmacist | 8395 Dorchester Rd, N Charleston, SC 29418-2916 | 2014-07-15 |
| 1295154557 | Jennifer Trucksis | Pharmacist | 7400 Rivers Ave, N Charleston, SC 29406-4644 | 2014-04-15 |
| 1144565813 | Lauren Mantho Abel | Pharmacist | 8409 Dorchester Rd Ste 104, N Charleston, SC 29420-7324 | 2012-12-06 |
| 1700136074 | Charles Macko | Pharmacist | 5215 Ashley Phosphate Rd, N Charleston, SC 29418-2823 | 2012-09-14 |
| 1669756417 | Jared Samuel Dickerson | Pharmacist | 3725 Rivers Ave, Suite 2, N Charleston, SC 29405-7038 | 2011-09-28 |
| Find all providers in N CHARLESTON | ||||
| City | N CHARLESTON |
| Zip Code | 29405 |
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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.