Madelyn Suddreth
Pharmacist in Charleston, SC. Individual provider (NPI-1).
NPI number1265211643
StatusActive
Last updated in NPPESSep 26, 2023
Details
- NPI
- 1265211643
- Entity type
- Individual (NPI-1)
- Name
- Madelyn Suddreth
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2023
- Certification date
- Sep 26, 2023
- Last updated
- Sep 26, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 44108 | SC | Yes |
Practice location
135 Rutledge Ave Rm 106Charleston, SC 29425-8903
Phone 843-876-0199
Mailing address
1823 Telfair WayCharleston, SC 29412-2375
Phone 828-244-0133
Is something wrong?
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