Demargas Shaun Maxwell, PharmD
Pharmacist in Anderson, SC. Individual provider (NPI-1).
NPI number1871012005
StatusActive
Last updated in NPPESOct 3, 2017
Details
- NPI
- 1871012005
- Entity type
- Individual (NPI-1)
- Name
- Demargas Shaun Maxwell
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2017
- Last updated
- Oct 3, 2017
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 | 37402 | SC | Yes |
Practice location
4405 Highway 24Anderson, SC 29626-5216
Phone 864-226-7776
Mailing address
2515 Fleming DrAnderson, SC 29621-6759
Phone 864-934-6522
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 125 Pharmacist providers in Anderson · All 2,834 providers in Anderson
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