CHARLES EDWARD MIMS SR. (NPI# 1992040687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992040687 |
| Entity Type | Individual |
| Full Name | CHARLES EDWARD MIMS SR. |
| Credential | PHARMD |
| Practice Address |
100 Old Cherokee Rd Lexington SC 29072-9316 |
| Practice Telephone | 8039511727 |
| Practice Fax Number | 8038082972 |
| Mailing Telephone | 8039511727 |
| Mailing Fax Number | 8038082972 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13977 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720382278 | Charles Edward Mims | Social Worker | 862 N Date, Mesa, AZ 85201-4078 | 2010-12-27 |
| 1396717039 | Charles H Mims | Internal Medicine | 4411 Medical Dr, San Antonio, TX 78229-3822 | 2006-02-06 |
| Street Address |
100 OLD CHEROKEE RD |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29072-9316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336105527 | Health Promotion Specialists | Dental Hygienist | 100 Old Cherokee Rd, Suite F, Box 14, Lexington, SC 29072-7959 | 2006-04-25 |
| 1831634492 | Margaret Lauren Summers | Dental Hygienist | 100 Old Cherokee Rd, Suite F Pmb 14, Lexington, SC 29072-9316 | 2017-01-05 |
| 1740656966 | Kelly Martin | Dental Hygienist | 100 Old Cherokee Rd, Suite F, Pmb 14, Lexington, SC 29072-9316 | 2015-08-12 |
| 1205212891 | Kelly Bidwell | Dental Hygienist | 100 Old Cherokee Rd, Suite F Pmb 14, Lexington, SC 29072-9316 | 2015-08-05 |
| 1285020131 | Anna Wright | Dental Hygienist | 100 Old Cherokee Rd, Suite F Pmb 14, Lexington, SC 29072-9316 | 2015-04-07 |
| 1851792659 | Justine Brannock | Pharmacist | 100 Old Cherokee Rd, Lexington, SC 29072-9316 | 2014-09-11 |
| 1679973945 | Katherine Butler | Pharmacist | 100 Old Cherokee Rd, Lexington, SC 29072-9316 | 2014-08-24 |
| 1659705127 | Rebecca Cooper Bragdon | Speech-Language Pathologist | 100 Old Cherokee Rd, Suite F, Lexington, SC 29072-9316 | 2013-09-02 |
| 1760814966 | Kayla Drake | Occupational Therapy Assistant | 100 Old Cherokee Rd, Suite F, Box 172, Lexington, SC 29072-9316 | 2013-07-30 |
| 1003151812 | Sheila Allen Young | Pharmacist | 100 Old Cherokee Rd, Lexington, SC 29072-9316 | 2012-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1730727629 | Erika Watts | Occupational Therapist | 100 Tarrar Springs Road, Sped, Lexington, SC 29072 | 2019-12-11 |
| 1194380600 | Lexington County Health Services District, Inc. | Clinic/Center | 154 Saluda Pointe Ct, Lexington, SC 29072 | 2019-05-09 |
| 1962973768 | William R. Key | Counselor | Lexington Community Mental Health Center, 301 Palmetto Park Boulevard, Lexington, SC 29072 | 2018-12-06 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1598251605 | Lynn Marceline Beckett-lowe | Nurse Practitioner | 124 Pink Camellia Lane, Lexington, SC 29072 | 2018-07-02 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1649781857 | Constance Jean Lynch | Occupational Therapist | 800 North Lake Boulevard, Lexington, SC 29072 | 2017-10-14 |
| Find all providers in zip 29072 | ||||
| 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 |
|---|---|---|---|---|
| 1063013571 | Andrew William Peters | Pharmacist | 301 Castor Rd Apt 104, Lexington, OH 44904-8745 | 2020-11-03 |
| 1689285033 | Breanna Danielle Ardis | Pharmacist | 2418 Augusta Hwy, Lexington, SC 29072-2216 | 2020-08-10 |
| 1437772530 | Dhrutiben Pareshbhai Patel | Pharmacist | 104 Scarborough Dr Ste C, Lexington, SC 29072-1922 | 2020-05-22 |
| 1205455987 | Michael David Deluca | Pharmacist | 3908 Laurel Oak Ln, Lexington, KY 40514-1732 | 2020-04-13 |
| 1437787561 | Dorothy Riechter | Pharmacist | 2195 Harrodsburg Rd Rm T1636, Lexington, KY 40504-3516 | 2020-04-01 |
| 1215565817 | Nancy Hudson | Pharmacist | 800 Rose Street Room 110, Lexington, KY 40546-0001 | 2020-03-30 |
| 1720611791 | Patience Nave Fort | Pharmacist | Chandler Retail Pharmacy 1000 S Limestone Room A.01.114, Lexington, KY 40536-0001 | 2020-02-19 |
| 1669012233 | William Todd Adams | Pharmacist | 399 Waller Ave Ste 110, Lexington, KY 40504-2910 | 2020-01-13 |
| 1043859069 | Von Hiten | Pharmacist | 740 South Limestone J134, Lexington, KY 40536-0001 | 2019-12-23 |
| 1790339661 | Anthony Tagavi | Pharmacist | 740 South Limestone St K-135, Lexington, KY 40536-0284 | 2019-07-30 |
| Find all providers in LEXINGTON | ||||
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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.