DR. CALEB ALAN FACKLER (NPI# 1922528561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922528561 |
| Entity Type | Individual |
| Full Name | DR. CALEB ALAN FACKLER |
| Credential | PHARMD |
| Practice Address |
4920 Centre Pointe Dr North Charleston SC 29418-6927 |
| Practice Telephone | 8437405484 |
| Practice Fax Number | 8437406766 |
| Mailing Telephone | 8437405484 |
| Mailing Fax Number | 8437406766 |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 37128 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | STATE LICENSE | 37128 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 63 Rutledge Ave Apt 36, Charleston, SC 294011754 | (479) 426-5682 |
| Street Address |
4920 CENTRE POINTE DR |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29418-6927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942227111 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4920 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2006-07-16 |
| 1437767027 | Skye Jacques | Pharmacist | 4920 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2020-07-20 |
| 1407231145 | Elizabeth Heman | Pharmacist | 4920 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2015-07-23 |
| 1437579794 | Sara E. White | Pharmacist | 4920 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2014-04-24 |
| 1154740488 | Carol Karst Franklin | Pharmacist | 4920 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2014-04-15 |
| 1578982989 | Mary Guthrie | Pharmacist | 4920 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2014-04-14 |
| 1245312545 | Wal-mart Stores East, Lp | Technician/Technologist | 4920 Centre Pointe Dr, North Charleston, SC 29418-6927 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| Find all providers in zip 29418 | ||||
| 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 |
|---|---|---|---|---|
| 1841776762 | Xiaomei Xu | Pharmacist | 7933 New Ryder Rd, North Charleston, SC 29406-9809 | 2018-07-13 |
| 1487109757 | Anh Quoc Pham Nguyen | Pharmacist | 8127 Saveur Ln, North Charleston, SC 29406-8941 | 2016-08-16 |
| 1396138483 | Tri Tran | Pharmacist | 8023 Regency Elm Dr, North Charleston, SC 29406-8937 | 2015-03-12 |
| 1437494119 | Claire G Clark | Pharmacist | 8409 Dorchester Rd, North Charleston, SC 29420-7324 | 2012-12-06 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1831447655 | Jennifer Lynn Mixson | Pharmacist | 8538 Kennestone Ln, North Charleston, SC 29420-6843 | 2012-08-28 |
| 1063772358 | Teresa Monique Burks | Pharmacist | 8471 Yadkin Cir Apt H, North Charleston, SC 29406-9544 | 2012-05-21 |
| 1942507215 | Anna C Lybrand | Pharmacist | 1360 Truxtun Ave Ste 300, North Charleston, SC 29405-2045 | 2011-02-22 |
| 1598079667 | Lacy Christine Sipes | Pharmacist | 1195 Remount Rd, North Charleston, SC 29406-3528 | 2010-08-01 |
| 1992038178 | Charles Francis Jones | Pharmacist | 8500 Vistavia Rd, North Charleston, SC 29406-9747 | 2009-09-07 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29418 |
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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.