Healthcare Provider Details

I. General information

NPI: 1548417835
Provider Name (Legal Business Name): CATHERINE EPPS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

781 CENTER ST
APEX NC
27502-1711
US

IV. Provider business mailing address

109 GREENVALE DR
LEXINGTON SC
29072-7360
US

V. Phone/Fax

Practice location:
  • Phone: 803-605-8266
  • Fax:
Mailing address:
  • Phone: 803-254-8775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number10835
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number010835
License Number StateSC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: