VASSAR C.LIVENGOOD (NPI# 1659385078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659385078 |
| Entity Type | Organization |
| Organization Name | VASSAR C.LIVENGOOD |
| Other Organization Name | SLATER DRUG COMPANY |
| Practice Address |
101 Pumpkintown Rd Marietta SC 29661 |
| Mailing Address |
Po Box 156 Marietta SC 29661-0156 |
| Practice Telephone | 8648363771 |
| Practice Fax Number | 8648366330 |
| Mailing Telephone | 8648363771 |
| Mailing Fax Number | 8648366330 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | MRS. VASSAR CHUMLEY LIVENGOOD (OWNER) |
| Authorized Official Telephone | 8648363771 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3977 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DM0628 | 05 |
| Other Name | Type Code |
|---|---|
| Slater Drug Company | Doing Business As Name - Organization |
| Street Address |
101 PUMPKINTOWN RD |
| City | MARIETTA |
| State | SC |
| Zip Code | 29661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821363094 | Kellie P Vernon | Massage Therapist | 275 Wildazalea Lane, Marietta, SC 29661 | 2012-03-20 |
| 1649470428 | James E Barnett | Family Medicine | 207 Pumpkintown Road, Marietta, SC 29661 | 2007-07-20 |
| 1952475949 | Dr Byron K. Bridges Dds Pa | Dentist | 3037 Geer Hwy, Marietta, SC 29661 | 2006-11-20 |
| 1750476875 | Happy Hooves, Inc. | Occupational Therapist | 4700 Dacusville Highway, Marietta, SC 29661 | 2006-10-04 |
| 1285989111 | Justin Degarmo | Dentist | 3037 Geer Hwy, Marietta, SC 29661 | 2012-07-17 |
| 1376197335 | Nicole I Crawford | Nurse Practitioner | 868 Cedar Rd, Marietta, SC 29661-9006 | 2019-07-29 |
| 1760543524 | Valley of Youth | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 352 Spring Park Rd, Marietta, SC 29661-9229 | 2006-12-13 |
| 1447219696 | Mpi Management, Inc | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2006-03-17 |
| 1386113801 | Sc-ga2018 River Falls Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2018-11-14 |
| 1578991626 | River Falls Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2906 Geer Hwy, Marietta, SC 29661-9517 | 2013-10-29 |
| Find all providers in zip 29661 | ||||
| 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 |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1275143380 | Stephanie Diane-hunsley Long | Pharmacist | 1050 E Piedmont Rd Ste P, Marietta, GA 30062-4744 | 2020-08-04 |
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1053947226 | Chettana Sanasith | Pharmacist | 1979 Carithers Way, Marietta, GA 30064-6012 | 2020-03-19 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1659837086 | Charnisha Thomas | Pharmacist | 3024 Hidden Forest Ct Unit 5203, Marietta, GA 30066-3155 | 2019-02-11 |
| 1356819502 | Kineta Naidu | Pharmacist | 1040 Brockton Close, Marietta, GA 30068-4924 | 2018-11-06 |
| 1285114843 | Jorg Richard Largent Jr. | Pharmacist | 1761 Chanson Pl, Marietta, GA 30062-2169 | 2018-08-14 |
| 1124506993 | Allison Delancey | Pharmacist | 401 Matthew St Ste 100, Marietta, OH 45750-1635 | 2018-08-02 |
| 1003320326 | Jerrica Lanise Dodd | Pharmacist | 2499 Red Barn Rd Sw, Marietta, GA 30064-4905 | 2017-11-22 |
| Find all providers in MARIETTA | ||||
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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.