BRETT C FALLAW (NPI# 1164767729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164767729 |
| Entity Type | Individual |
| Full Name | BRETT C FALLAW |
| Practice Address |
1000 Johnnie Dodds Blvd Ste 106 Publix Pharmacy Mt Pleasant SC 29464-3187 |
| Mailing Address |
1000 Johnnie Dodds Blvd Publix Pharmacy Mt Pleasant SC 29464-3135 |
| Practice Telephone | 8438563007 |
| Practice Fax Number | 8438563014 |
| Mailing Telephone | 8438563007 |
| Mailing Fax Number | 8438563014 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 009698 | SC | Pharmacy Service Providers |
| Street Address |
1000 JOHNNIE DODDS BLVD STE 106 PUBLIX PHARMACY |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| 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 |
|---|---|---|---|---|
| 1902406143 | Cynthia Marie Long | Pharmacist | 2100 Summit Ridge Plz Ste 1, Mt Pleasant, PA 15666-9199 | 2020-10-27 |
| 1851924138 | Karen A Hixson | Pharmacist | 1306 S Mission St, Mt Pleasant, MI 48858-4208 | 2020-02-14 |
| 1154977007 | Fiona Katherine Connolly | Pharmacist | 120 Country Side Plz, Mt Pleasant, PA 15666-1816 | 2019-08-16 |
| 1497226633 | Michael Kinzer | Pharmacist | 103 Public Sq, Mt Pleasant, TN 38474-1625 | 2018-12-16 |
| 1265823017 | William R Clair Iv | Pharmacist | 1128 Audubon Pl, Mt Pleasant, SC 29464-9033 | 2015-02-16 |
| 1215337134 | Michael O'brien | Pharmacist | 360 Stonewall Ct, Mt Pleasant, SC 29464-7988 | 2014-08-27 |
| 1861812919 | Charles Hunter | Pharmacist | 430 Channel Creek Ct, Mt Pleasant, SC 29464-8120 | 2014-04-16 |
| 1508115064 | Dawn Michelle Devine | Pharmacist | 620 Long Pointe Rd, Suite H, Suite 201, Mt Pleasant, SC 29464 | 2012-08-30 |
| 1154693422 | Sharon Kay French | Pharmacist | 314 Cedar St, Mt Pleasant, TX 75455-5912 | 2012-02-02 |
| 1639451156 | Kevin L Parnell | Pharmacist | 774 S Shelmore Blvd, Mt Pleasant, SC 29464-7625 | 2011-09-10 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on BRETT C FALLAW.
| 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.