SC HOME RX NPI 1942241880

NPI Information

NPI: 1942241880
Provider Name: SC HOME RX

Former Legal Business Name: AGAPE PHARMACY INC DBA LTC PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
3685 LEAPHART RD STE A
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 454-0194
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SC HOME RX is a long term care pharmacy pharmacy in West Columbia, SC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SC HOME RX NPI is 1942241880. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Agape Pharmacy Inc Dba Ltc Pharmacy.

The provider's business location address is:

3685 LEAPHART RD STE A
WEST COLUMBIA, SC
ZIP 29169-067
Phone: (803) 454-0194
Fax: (803) 451-7128

The provider's authorized official is Cathy Sue Davis .
The authorized official title is Cpht Billing Specialist and has the following contact phone number (803) 739-4278.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 4/13/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336L0003X	Pharmacy	Long Term Care Pharmacy	50007457	SOUTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	774573	MEDICAID	SOUTH CAROLINA
2	10074651	OTHER	SOUTH CAROLINA	DEA LICENSE
3	4225137	OTHER	SOUTH CAROLINA	NABP/NCPDP

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: 11/14/2023

NPI Synchronization or Removal

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