JIM SANDLIN (NPI# 1902140619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902140619 |
| Entity Type | Individual |
| Full Name | JIM SANDLIN |
| Credential | RPH |
| Practice Address |
100 N Railroad Ave Lamar SC 29069-9726 |
| Practice Telephone | 8433265231 |
| Practice Fax Number | 8433265068 |
| Mailing Telephone | 8433265231 |
| Mailing Fax Number | 8433265068 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4145 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC PHARMACY LISCENSE | 4145 | 01 |
| Street Address |
100 N RAILROAD AVE |
| City | LAMAR |
| State | SC |
| Zip Code | 29069-9726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164589289 | Piggly Wiggly of Lamar LLC | Pharmacy | 100 N Railroad Ave, Lamar, SC 29069-9726 | 2007-01-02 |
| 1306467766 | Lamar Family Pharmacy | Pharmacy | 100 N Railroad Ave, Lamar, SC 29069-9726 | 2020-04-27 |
| 1619384765 | Ronnie Mccall Campbell | Pharmacist | 100 N Railroad Ave, Lamar, SC 29069-9726 | 2014-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073858247 | Cynthia Katko | Speech-Language Pathologist | 100 Providence Road, Lamar, SC 29069 | 2012-11-29 |
| 1538543723 | Genesis Healthcare Inc | Community Health Worker | 301 W. Main St., Lamar, SC 29069 | 2015-07-17 |
| 1558694299 | Tony Skorput, Pa | Physical Therapist | 121 West Main Street, Heirloom Plaza, Suites D & E, Lamar, SC 29069 | 2009-09-14 |
| 1669660528 | Piggly Wiggly Retail Stores, Inc. | Durable Medical Equipment & Medical Supplies | 100 Railroad Ave., Lamar, SC 29069-0625 | 2007-10-04 |
| 1821649344 | Jacqueline G. Stephens | Nurse Practitioner | 406 S Railroad Ave, Lamar, SC 29069-2906 | 2019-09-25 |
| 1265996995 | Ashley Hubbard Hilburn | Nurse Practitioner | 301 W Main St, Lamar, SC 29069-7102 | 2019-01-28 |
| 1497158778 | April Watford | Registered Nurse | 101 Mclendon St, Lamar, SC 29069-8633 | 2014-10-01 |
| 1275587834 | Wes Corporation, Inc. | Clinic/Center | 696 Davis St, Lamar, SC 29069-9132 | 2006-05-19 |
| 1558606608 | Gretchen Anne Mccathern | Physical Therapist | 214 N Darlington Ave, Lamar, SC 29069-9302 | 2012-11-30 |
| 1366981144 | Amy Andrews Bullard | Registered Nurse | 214 N Darlington Ave, Lamar, SC 29069-9302 | 2017-02-14 |
| Find all providers in zip 29069 | ||||
| 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 |
|---|---|---|---|---|
| 1265959118 | Alana Gilmartin | Pharmacist | 605 A W 12th St, Lamar, MO 64759 | 2017-08-22 |
| 1437278967 | Audrey Ann Russell | Pharmacist | 605a W 12th St, Lamar, MO 64759-1703 | 2007-03-28 |
| 1386245991 | Genice Farrell | Pharmacist | 29 Sw 1st Ln, Lamar, MO 64759-1772 | 2020-11-02 |
| 1326648718 | Yvette Hermsen-gordon | Pharmacist | 29 Sw 1st Ln, Lamar, MO 64759-1772 | 2020-10-27 |
| 1649870197 | Jessica Robertson | Pharmacist | 29 Sw 1st Ln, Lamar, MO 64759-1772 | 2020-10-26 |
| 1649805060 | Ben Kim | Pharmacist | 906 E Olive St, Lamar, CO 81052-2966 | 2020-03-05 |
| 1932745718 | Camlinh Ngoc Vu | Pharmacist | 1432 E Olive St, Lamar, CO 81052-2958 | 2019-11-27 |
| 1548723729 | Derek T Hettinger | Pharmacist | 1432 E Olive St, Lamar, CO 81052-2958 | 2019-04-13 |
| 1073082756 | Casey Gray | Pharmacist | 906 E Olive St, Lamar, CO 81052-2966 | 2018-11-25 |
| 1710455308 | Mackenzie Obermeyer | Pharmacist | 605a W 12th St, Lamar, MO 64759-1703 | 2018-11-13 |
| Find all providers in LAMAR | ||||
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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.