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PLANTATION PHARMACY AT ELLIS OAKS NPI 1255416616


NPI Information

NPI: 1255416616
Provider Name: PLANTATION PHARMACY AT ELLIS OAKS
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 42D2183889

Address:
776 DANIEL ELLIS DR
2C
CHARLESTON, SC
ZIP 29412
Phone: (843) 795-9554
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PLANTATION PHARMACY AT ELLIS OAKS is a community/retail pharmacy pharmacy in Charleston, 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. PLANTATION PHARMACY AT ELLIS OAKS NPI is 1255416616. The provider is registered as an organization entity type.

The provider's business location address is:

776 DANIEL ELLIS DR
2C
CHARLESTON, SC
ZIP 29412-094
Phone: (843) 795-9554
Fax: (843) 795-2660

The provider's authorized official is Deborah Dapore .
The authorized official title is Owner and has the following contact phone number (843) 795-9554.

The CLIA number assigned to this NPI record is 42D2183889 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 1/3/2011.


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 Pharmacy010727966SOUTH CAROLINAYes

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
14225555MEDICARE UPINSOUTH CAROLINA
25418120001MEDICARE NSCSOUTH CAROLINA
3780107MEDICAIDSOUTH CAROLINA

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

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