MRS. LAVEDA YOLANDA ODOM (NPI# 1730512005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730512005 |
| Entity Type | Individual |
| Full Name | MRS. LAVEDA YOLANDA ODOM |
| Credential | RPH |
| Practice Address |
100 Prison Rd Estill SC 29918 |
| Mailing Address |
220 Palomino Dr Guyton GA 31312-5178 |
| Practice Telephone | 8036254607 |
| Practice Fax Number | 8036255603 |
| Mailing Telephone | 9127283037 |
| Mailing Fax Number | 9127283037 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 008884 | SC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
008884 | SC | Pharmacy Service Providers |
| Street Address |
100 PRISON RD |
| City | ESTILL |
| State | SC |
| Zip Code | 29918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689001034 | Earl B Hartzog Dmd Pa | Dentist | 123 Catherine Avenue North, Estill, SC 29918 | 2013-10-01 |
| 1790900249 | Lesters Diabetic Shoe Serv | Durable Medical Equipment & Medical Supplies | 41 Blair Circle, Estill, SC 29918 | 2007-04-17 |
| 1821182452 | Michelle Marie Mckenzie | Optometrist | 2010 Browning Gate Road, Estill, SC 29918 | 2006-10-03 |
| 1538192349 | Hampton County School District 2 | Local Education Agency (LEA) | 319 E 4th Street, Estill, SC 29918 | 2006-07-08 |
| 1033768833 | Tamala Booker Middleton | Nurse Practitioner | 100 Prison Road, Estill, SC 29918 | 2019-09-05 |
| 1932648227 | Amanda Howard | Psychologist | 100 Prison Road, Estill, SC 29918 | 2017-02-20 |
| 1285844761 | Zoltan Robert Vendal | Clinic/Center | 100 Prison Rd., Estill, SC 29918 | 2007-05-23 |
| 1124476320 | Latoya Monique Williams | Pharmacist | 136 Martin Luther King Jr. Blvd N, Estill, SC 29918-0335 | 2016-05-27 |
| 1811037633 | David Leroy Barnes Sr. | Dentist | 144 Catherine Street North, Estill, SC 29918-0547 | 2007-02-08 |
| 1174867857 | Federal Correctional Ins Estill | Clinic/Center | 100 Prison Road, Estill, SC 29918-0699 | 2012-11-19 |
| Find all providers in zip 29918 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898099 | Jonathan Eric Kelly | Pharmacist | 150 Ashley Ave # Msc584, Charleston, SC 29425-8907 | 2020-07-13 |
| 1912521048 | Adrienne Z Ables | Pharmacist | 1703 John B White Sr Blvd, Spartanburg, SC 29301-5486 | 2020-06-04 |
| 1437783230 | Erica Yelton | Pharmacist | 1325 Miller Rd Ste K, Greenville, SC 29607-6541 | 2020-03-02 |
| 1083191597 | Annette Goodwin Walker | Pharmacist | 18 Canso St, Greenville, SC 29607-6414 | 2018-07-26 |
| 1184149056 | Chandler Joyce Adkins | Pharmacist | 405b E Greer St, Honea Path, SC 29654-1820 | 2017-08-11 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
| 1073996286 | Lavetra Sims | Pharmacist | 323 Longtown Rd W, Blythewood, SC 29016-8166 | 2015-07-07 |
| 1851700926 | Heather Hummel | Pharmacist | 1020 Orange Grove Rd, Charleston, SC 29407-3756 | 2014-08-04 |
| 1952724718 | Alyson Browning | Pharmacist | 5 Richland Medical Park Drive, Columbia, SC 29203 | 2014-01-30 |
| Find all providers with the same taxonomy | ||||
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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.