Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1073890992 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Dean Shively , PhD, RPH

Pharmacist • Clinton, SC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Shively has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 06, 2011
NPI Deactivation Date April 03, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Shively, PhD, RPH was a registered Pharmacist practicing in Clinton, SC. Throughout an active medical career spanning 14 years, Dr. Shively provided care at the practice location at 307 N BROAD ST until profile deactivation on 2025-04-03.

Practice Location & Contact Primary Location

Practice Address

307 N Broad St

Clinton, SC 293252305

Telephone 8649383933
Fax 8649383903
Associated Practice Facility / Clinic
🏢 Presbyterian College Facility NPI 1710273594

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Clinton, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Clinton, SC (5339 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License SC 11470

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1700439452

Doctor of Pharmacy (Pharm.D.)

NPI 1750687489

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

NPI Profile Active November 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 06, 2011

Registered at 307 N BROAD ST, CLINTON, SC 293252305 (Tel: 8649383933)

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Updated Business Mailing Address November 06, 2011

Registered at 901 BENNETTS BRIDGE RD, GREER, SC 296517532 (Tel: 6233638644)

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Provider Name / Credentials Updated November 06, 2011

Recorded as CHARLES SHIVELY, PH.D., R.PH.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2011

Pharmacist (License #11470 in SC)

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Initial NPI Registration & Enumeration November 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073890992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2011
Last Update: November 06, 2011
Deactivation Date: April 03, 2025

Mailing Address

901 Bennetts Bridge Rd

Greer, SC 296517532

Phone: 6233638644

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.