Healthcare Provider Details

I. General information

NPI: 1194640003
Provider Name (Legal Business Name): RONALD NEYENS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RON NEYENS PHARMD

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 ASHLEY AVE
CHARLESTON SC
29425-0100
US

IV. Provider business mailing address

1242 BERRY CREEK DR UNIT 411
MOUNT PLEASANT SC
29466-7548
US

V. Phone/Fax

Practice location:
  • Phone: 843-792-7527
  • Fax:
Mailing address:
  • Phone: 842-300-2019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH.11675
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: