Healthcare Provider Details

I. General information

NPI: 1972050953
Provider Name (Legal Business Name): SUHA UMINA PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 W. FARIS ROAD
GREENVILLE SC
29605
US

IV. Provider business mailing address

108 ELMSLEY RD
GREENVILLE SC
29607-4486
US

V. Phone/Fax

Practice location:
  • Phone: 864-729-8330
  • Fax:
Mailing address:
  • Phone: 513-470-5132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number14080
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number14080
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: