RIDGE LTC PHARMACY LLC NPI 1992293476

NPI Details

RIDGE LTC PHARMACY, LLC is a long term care pharmacy pharmacy in Gilbert, 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, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. RIDGE LTC PHARMACY, LLC NPI is 1992293476. The provider is registered as an organization entity type.

The provider's business location address is:

4079 AUGUSTA HWY STE A
GILBERT, SC
ZIP 29054
Phone: (803) 756-4175
Fax: (803) 756-4178

The provider's authorized official is Bevin W. Metts .
The authorized official title is Owner/pharmacist and has the following contact phone number (803) 756-4175.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
• Influenza vaccine split virus, preservative free (HCPCS:90662)

The enumeration date for this NPI number is 4/30/2018 and was last updated on 3/25/2025.

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: