1851028831 NPI number — NANCY MCHALEY FLEMING JOYNER PHARMD

Table of content: NANCY MCHALEY FLEMING JOYNER PHARMD (NPI 1851028831)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851028831 NPI number — NANCY MCHALEY FLEMING JOYNER PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOYNER
Provider First Name:
NANCY
Provider Middle Name:
MCHALEY FLEMING
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JOYNER
Provider Other First Name:
LEIGH
Provider Other Middle Name:
MCHALEY FLEMING
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1851028831
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
37 TANNERY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREER
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29651-7320
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-225-2113
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
415 BROCKMAN MCCLIMON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREER
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29651-6608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-989-1432
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  43581 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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