LITTLE RIVER MEDICAL CENTER PHARMACY (NPI# 1043394299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043394299 |
| Entity Type | Organization |
| Organization Name | LITTLE RIVER MEDICAL CENTER PHARMACY |
| Practice Address |
4303 Live Oak Dr Little River SC 29566-9138 |
| Mailing Address |
Po Box 547 Little River SC 29566-0547 |
| Practice Telephone | 8436638099 |
| Practice Fax Number | 8436638131 |
| Mailing Telephone | (843) 663-8099 |
| Mailing Fax Number | 8432818454 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-07-11 |
| Authorized Official Name | DR. KRISTOPHER L CHIPLINSKI (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8436638031 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | Y |
| Parent Organization Name | LITTLE RIVER MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 760725 | 05 | |
| NC | 0426304 | 05 | |
| NCPDP | 4223551 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487931341 | Little River Medical Center Pharmacy | Pharmacy | 4220 Carolina Exchange Dr, Myrtle Beach, SC 29579-4220 | 2011-11-07 |
| Street Address |
4303 LIVE OAK DR |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566-9138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448027 | Georgia Lynn Plum | Nurse Practitioner | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2005-09-20 |
| 1922632702 | Lyn-marie Kuball | Nurse Practitioner | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2020-03-02 |
| 1881233567 | Cathy Sparacia | Registered Nurse | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2019-12-30 |
| 1215585567 | Jerry A Camisa | Nurse Practitioner | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2019-08-29 |
| 1568949352 | Meredith Michelle Lukowski | Family Medicine | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2018-07-24 |
| 1467975136 | Liena D Abreus | Dentist | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2017-07-24 |
| 1255718060 | Hayley Guilkey | Pediatrics | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2015-04-30 |
| 1275941213 | Beverly Elaine Miller | Nurse Practitioner | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2014-07-22 |
| 1902219652 | Mary Melody Dawson Whitaker | Dentist | 4303 Live Oak Dr, Little River, SC 29566 | 2014-06-10 |
| 1861828170 | Laura Mary Norton | Psychologist | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2013-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1083878813 | Lacie E. Edmison | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566 | 2008-07-10 |
| Find all providers in zip 29566 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295289742 | Waterway Pharmacy LLC | Pharmacy | 3373 Highway 9 E, Little River, SC 29566-7826 | 2016-08-12 |
| 1922195122 | Thomas Drugs Inc | Pharmacy | 1304 Highway 17, Little River, SC 29566-9215 | 2006-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144840026 | Salubrius Pharmacy, LLC | Pharmacy | 120 Clair Dr, Powdersville, SC 29673-7771 | 2020-04-21 |
| 1073146502 | Greenville Health Corporation | Pharmacy | 115 N Sumter St Ste 220, Sumter, SC 29150-4972 | 2020-02-12 |
| 1043858996 | M Holdings LLC | Pharmacy | 808 Highway 378 Ste A, Lexington, SC 29072-8379 | 2019-12-11 |
| 1033760483 | Eau Claire Cooperative Health Center, Inc. | Pharmacy | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2019-09-26 |
| 1467002816 | Black River Pharmacy LLC | Pharmacy | 32a N Williamsburg County Hwy, Kingstree, SC 29556-2433 | 2019-09-18 |
| 1548821457 | Dipti H Patel | Pharmacy | 636 Chartwell Dr, Greer, SC 29650-4787 | 2019-06-23 |
| 1972163350 | Genesis Health Care, Inc | Pharmacy | 211 S Jones Rd Ste A, Olanta, SC 29114-9705 | 2019-06-18 |
| 1013571314 | Publix Super Markets, Inc. | Pharmacy | 730 Hopewell Drive, Charleston-berkeley, SC 29492-7102 | 2019-04-23 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE RIVER |
| Zip Code | 29566 |
Please comment or provide details below to improve the information on LITTLE RIVER MEDICAL CENTER PHARMACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.