Provider Demographics
NPI:1245049642
Name:BIVINS, YASMINE CHATE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:YASMINE
Middle Name:CHATE
Last Name:BIVINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:YASMINE
Other - Middle Name:CHATE
Other - Last Name:GOLDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:106 COLD CREEK PASS
Mailing Address - Street 2:
Mailing Address - City:PORT WENTWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:31407-3455
Mailing Address - Country:US
Mailing Address - Phone:229-740-3127
Mailing Address - Fax:
Practice Address - Street 1:85 MATHEWS DR
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-3609
Practice Address - Country:US
Practice Address - Phone:843-681-8363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-01
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH035298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist