RANDI KATHERINE POPP (NPI# 1407114887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407114887 |
| Entity Type | Organization |
| Organization Name | RANDI KATHERINE POPP |
| Other Organization Name | WELL FAMILY MEDICINE, LLC |
| Practice Address |
1483 Tobias Gadson Blvd Suite 102 Charleston SC 29407-8702 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 8437666229 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-05-16 |
| Authorized Official Name | DR. RANDI K. POPP (OWNER) |
| Authorized Official Telephone | 8437666229 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RANDI KATHERINE POPP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Well Family Medicine, LLC | Doing Business As Name - Organization |
| Street Address |
1483 TOBIAS GADSON BLVD SUITE 102 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-8702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447246673 | Steven Dennis Shapiro | Medical Genetics | 1483 Tobias Gadson Blvd, Ste 102, Charleston, SC 29407-8702 | 2005-09-22 |
| 1609331321 | Catherine Orr Mercier | Physical Therapist | 1483 Tobias Gadson Blvd, Charleston, SC 29407-8702 | 2019-02-06 |
| 1982147997 | Joshua David Morrisette | Occupational Therapist | 1483 Tobias Gadson Blvd, Suite 205b, Charleston, SC 29407-4641 | 2016-11-22 |
| 1487004131 | Michelle Alyson Prichard | Occupational Therapist | 1483 Tobias Gadson Blvd, Suite 205b, Charleston, SC 29407-4641 | 2016-06-14 |
| 1760851273 | Laura Allison Cramer | Occupational Therapist | 1483 Tobias Gadson Blvd, Suite 205b, Charleston, SC 29407-4641 | 2015-09-15 |
| 1962830216 | Head Dental Associates | Clinic/Center | 1483 Tobias Gadson Blvd, Suite 105, Charleston, SC 29407-8702 | 2013-10-24 |
| 1578907457 | Charleston Hand Therapy Center | Durable Medical Equipment & Medical Supplies | 1483 Tobias Gadson Blvd, Suite 205 B, Charleston, SC 29407-8702 | 2013-04-23 |
| 1124462148 | Charleston Hand Therapy Center | Occupational Therapist | 1483 Tobias Gadson Blvd, Suite 205b, Charleston, SC 29407-8702 | 2013-04-21 |
| 1598028821 | Juliana Head | Dentist | 1483 Tobias Gadson Blvd, Suite 105, Charleston, SC 29407 | 2012-06-21 |
| 1629331947 | Nathen Head | Dentist | 1483 Tobias Gadson Blvd, Suite 105, Charleston, SC 29407 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346581162 | Wellness First, LLC | Non-Pharmacy Dispensing Site | 2133 N Hillside Dr, Charleston, SC 29407-8102 | 2013-03-04 |
| 1679687651 | Charleston Hematology and Oncology Pa | Non-Pharmacy Dispensing Site | 125 Doughty St, Ste 280, Charleston, SC 29403-5736 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1962906313 | Charleston Oncology, Pa | Non-Pharmacy Dispensing Site | 3510 Highway 17 Byp N Ste 300, Mount Pleasant, SC 29466-8230 | 2018-03-21 |
| 1811383094 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 9185 University Blvd, North Charleston, SC 29406-9120 | 2015-04-14 |
| 1487051439 | Charleston Ent Associates LLC | Non-Pharmacy Dispensing Site | 298 Midland Pkwy, Summerville, SC 29485-8101 | 2014-11-19 |
| 1417367640 | Carolinas Physicians Network, Inc. | Non-Pharmacy Dispensing Site | 1091a 521 Red Ventures Drive, Fort Mill, SC 29707 | 2014-04-28 |
| 1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
| 1679849806 | Florence Podiatry Associates, LLC | Non-Pharmacy Dispensing Site | 492 W Cheves St, Florence, SC 29501-4447 | 2012-04-02 |
| 1629693668 | Anesthesia Associates of Charleston, P.a. | Non-Pharmacy Dispensing Site | 1341 Old Georgetown Rd, Mt Pleasant, SC 29464-7307 | 2020-06-16 |
| 1942841911 | Compounding Center At The Tides | Non-Pharmacy Dispensing Site | 180 Wingo Way Ste 106, Mount Pleasant, SC 29464-1810 | 2019-10-01 |
| 1063929263 | Cpc Rinehart Dispensary | Non-Pharmacy Dispensing Site | 131 Rinehart Way, Aiken, SC 29803-1703 | 2018-01-09 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on RANDI KATHERINE POPP.
| 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.