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LONGS DRUGS OF LEXINGTON SC INC NPI 1174779219


NPI Information

NPI: 1174779219
Provider Name: LONGS DRUGS OF LEXINGTON SC INC

Doing Business As: AVITA PHARMACY 1051

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1216 W MAIN ST
LEXINGTON, SC
ZIP 29072
Phone: (803) 358-3030
Get Directions

LONGS DRUGS OF LEXINGTON SC INC is a community/retail pharmacy pharmacy in Lexington, SC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. LONGS DRUGS OF LEXINGTON SC INC NPI is 1174779219. The provider is registered as an organization entity type.
The provider Is Doing Business As Avita Pharmacy 1051.

The provider's business location address is:

1216 W MAIN ST
LEXINGTON, SC
ZIP 29072-453
Phone: (803) 358-3030
Fax: (803) 358-3034

The provider's authorized official is Ashley Ellis .
The authorized official title is Corporate Counsel and has the following contact phone number (803) 254-5884.

The enumeration date for this NPI number is 8/8/2008 and was last updated on 5/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNRX0000789DISTRICT OF COLUMBIANo
23336C0003XPharmacyCommunity/Retail Pharmacy320011982ILLINOISNo
33336C0003XPharmacyCommunity/Retail PharmacyPHNR000221GEORGIANo
43336C0003XPharmacyCommunity/Retail PharmacySC1980KENTUCKYNo
53336C0003XPharmacyCommunity/Retail Pharmacy1240HAWAIINo
63336C0003XPharmacyCommunity/Retail PharmacyPH29285FLORIDANo
73336C0003XPharmacyCommunity/Retail Pharmacy41111MSIDAHONo
83336C0003XPharmacyCommunity/Retail Pharmacy64002113AINDIANANo
93336C0003XPharmacyCommunity/Retail Pharmacy4658IOWANo
103336C0003XPharmacyCommunity/Retail PharmacyPCN.0003017CONNECTICUTNo
113336C0003XPharmacyCommunity/Retail PharmacyOSP.0006745COLORADONo
123336C0003XPharmacyCommunity/Retail Pharmacy108052ALASKAYes
133336C0003XPharmacyCommunity/Retail Pharmacy11597DELAWARENo
143336C0003XPharmacyCommunity/Retail PharmacyPHY.007436-NRLOUISIANANo
153336C0003XPharmacyCommunity/Retail PharmacyY006749ARIZONANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11174779219MEDICAIDSOUTH CAROLINA
22116693OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.