Jack Pershing Padgett in Bamberg - Pharmacist
Jack Pershing Padgett - NPI 1194711689
Jack Pershing Padgett is a Pharmacist in Bamberg, South Carolina. Jack Pershing Padgett practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jack Pershing Padgett is 1194711689. The last update date is 2007-07-08.
Jack Pershing Padgett's current location address is 540 North St, Bamberg, South Carolina. You can contact this provider via phone number 8032454298 and fax number 8032451232. The mailing address for Jack Pershing Padgett is 540 North St, Bamberg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Pershing Padgett |
|---|---|
| Address | 540 North St, Bamberg, South Carolina |
| Phone Number | 8032454298 |
| Fax Number | 8032451232 |
| Sole Proprietor | X |
| Credentials | BS, RPH |
NPI Number Detail
| NPI Number | 1194711689 |
|---|---|
| Provider Enumeration Date | 2005-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 540 North St |
|---|---|
| City | Bamberg |
| State | South Carolina (SC) |
| Post Code | 290031319 |
| Phone Number | 8032454298 |
| Fax Number | 8032451232 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 4186 |
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Definition: 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 m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 716647 | SC | -- | |
| DE1340 | SC | DME MEDICAID | |
| 4202329 | NABP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack Pershing Padgett by the Centers for Medicare & Medicaid Services?
The Jack Pershing Padgett has been assigned the NPI (National Provider Identifier) 1194711689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jack Pershing Padgett located?
The Jack Pershing Padgett is located at 540 North St, Bamberg, SC 290031319.
What is Jack Pershing Padgett's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack Pershing Padgett is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
On what date did the Jack Pershing Padgett receive the assignment of its 1194711689 from the Centers for Medicare & Medicaid Services?
The Jack Pershing Padgett was issued its 1194711689 by the Centers for Medicare & Medicaid Services on 2005-09-21.
As of what date was the information regarding Jack Pershing Padgett, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Pershing Padgett, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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