Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Vannatta

Individual provider Pharmacist · NPI 1972964963

Timothy Vannatta is a Pharmacist in Summerville, South Carolina. Practices as a sole proprietor. Licensed in Illinois, South Carolina and U.S. Virgin Islands.

Licensed in
IL, SC, VI
In the registry since
2016
Specialties on file
3

Practice location Address checks out

626 Bacons Bridge Rd
Summerville, SC 29485-4102
Phone: (843) 873-5830
Fax: (843) 873-8742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 39501 (SC)
Pharmacist Taxonomy 183500000X · Licence 051036205 (IL)
Pharmacist Taxonomy 183500000X · Licence 320 (VI)

Record details

NPI number1972964963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 17, 2016
Last updated in NPPESMarch 17, 2016

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