KAYCEE TISDALE PHARMD
NPI 1962709147
Pharmacist in Kingstree, SC

Active since February 24, 2011
480 NELSON BLVD, KINGSTREE, SC 29556(843) 354-3373 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaycee Tisdale Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYCEE TISDALE PHARMD (NPI 1962709147) is an individual pharmacist in Kingstree, South Carolina, licensed in South Carolina (10340) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1962709147
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKAYCEE TISDALECredential: PHARMD
Location Address480 NELSON BLVDKingstree, SC 29556-4025
Mailing Address480 Nelson BlvdKingstree, SC 29556-4025 · (843) 354-3373
Sole ProprietorNo
Enumeration DateFebruary 24, 2011
Last NPPES UpdateSeptember 12, 2012
NPI 1962709147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in SC · 10340
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
480 NELSON BLVD, Kingstree, SC 29556

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
480 NELSON BLVD
KINGSTREE, SC 29556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaycee Tisdale's NPI number?

The NPI number for Kaycee Tisdale is 1962709147. It was assigned to this individual provider in the NPPES registry on February 24, 2011.

Where is Kaycee Tisdale located?

Kaycee Tisdale practices at 480 Nelson Blvd, Kingstree, SC 29556. The listed phone number is (843) 354-3373.

What is Kaycee Tisdale's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kaycee Tisdale was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.