HEISALIVELLC NPI 1831889526

NPI Information

  • NPI: 1831889526
  • Provider Name: HEISALIVE,LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: MEDCARE PHARMACY
  • CLIA Number: 42D2290638
  • Address: 723 BETHEL ST
    CLOVER, SC
    ZIP 29710
  • Phone: (803) 222-6060

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NPI Details

HEISALIVE,LLC is a pharmacy in Clover, SC. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. HEISALIVE,LLC NPI is 1831889526. The provider is registered as an organization entity type.
The provider Is Doing Business As Medcare Pharmacy.

The provider's business location address is:

723 BETHEL ST
CLOVER, SC
ZIP 29710-157
Phone: (803) 222-6060
Fax: (803) 222-6074

The provider's authorized official is Anita Zola Dowdy .
The authorized official title is Owner and has the following contact phone number (843) 479-7101.

The CLIA number assigned to this NPI record is 42D2290638 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2023 and was last updated on 5/9/2023.

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
1333600000XPharmacyYes

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: 11/21/2025

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