LOW COUNTRY HEALTH CARE SYSTEM, INC


Address: 333 Revolutionary Trail, Farifax, SC 29827
Phone: 8036322533

LOW COUNTRY HEALTH CARE SYSTEM, INC (NPI# 1053475566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053475566
Entity Type Organization
Organization Name LOW COUNTRY HEALTH CARE SYSTEM, INC
Other Organization Name LOW COUNTRY HEALTH CARE SYSTEM
Practice Address 333 Revolutionary Trail
Farifax
SC 29827
Mailing Address Po Box 990
Fairfax
SC 29827
Practice Telephone 8036322533
Practice Fax Number 8036321537
Mailing Telephone 8036322533
Mailing Fax Number 8036321537
Enumeration Date 2006-12-20
Last Update Date 2020-02-03
Authorized Official Name MEGAN ANDERSON (PHARMACIST)
Authorized Official Telephone 8036322533
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
SC DEA BL6736182 01
SC 751105 05

Other Provider/Organization Names

Other Name Type Code
Low Country Health Care System Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1649366022 Low Country Health Care System, Inc Clinic/Center 333 Revoluntionary Trail, Fairfax, SC 29827-7109 2006-10-05

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities LOW COUNTRY HEALTH CARE SYSTEM, INC. 333 Revolutionary Trail, Fairfax, SC 29827-7109

Office Location

Street Address 333 REVOLUTIONARY TRAIL
City FARIFAX
State SC
Zip Code 29827

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467843078 We Care Family Resource LLC Point of Service 513 Bayshore Dr., Fairfax, SC 29827 2015-02-18
1154606440 Robert M. Haberkorn Dds Clinic/Center 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 2011-10-18
1144370503 Allendale County Hospital Board Clinic/Center 1787 Allendale Fairfax Highway, Fairfax, SC 29827 2007-01-10
1336246677 Allendale County Hospital Board Skilled Nursing Facility 185 Revolutionary Trail, Fairfax, SC 29827 2006-09-20
1881646669 Shenika L. Marshall-hill Counselor 1594 Beaufort Ave. S., Fairfax, SC 29827 2006-05-17
1497745012 Robert M Haberkorn Dentist 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 2005-10-25
1073575171 Dva Healthcare Renal Care Inc Clinic/Center 1241 Boundry St W, Fairfax, SC 29827-3611 2006-04-04
1811384340 Marie Moore Registered Nurse 894 7th St W, Fairfax, SC 29827-4880 2015-04-22
1528309606 Portereshice Shunta Brabham Health Maintenance Organization 345 Amelia St, Fairfax, SC 29827-5967 2013-03-14
1851811988 Kelly Futch Wall Speech-Language Pathologist 1460 Pocotaligo Rd, Fairfax, SC 29827-6826 2017-06-20
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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: new]

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NPI Name Taxonomy Address Enumeration
1003371386 Tandem Health Sc Pharmacy 368 S Pike W, Sumter, SC 29150-2664 2019-01-31
1962805291 Palmetto Carolina Treatment Center, LLC Pharmacy 325 Inglesby Pkwy Unit F, Duncan, SC 29334-9117 2014-10-01
1215338058 Trust Concierge Pharmaceuticals LLC Pharmacy 4999 Carolina Forest Blvd Ste 13, Myrtle Beach, SC 29579-3587 2014-09-11
1689950636 Crossroads Treatment Center of Columbia Pharmacy 1421 Bluff Rd, Columbia, SC 29201-4809 2011-10-21
1447584115 Kerr Health, LLC Pharmacy 5060 International Blvd Ste 102, Charleston, SC 29418-6008 2009-09-28
1184844458 Greenwood Family Practice Inc Pharmacy 1226 Spring St, Greenwood, SC 29646-3835 2007-04-27
1619032034 Recovery Concepts of Carolina Upst LLC Pharmacy 1653 E Main St, Easley, SC 29640-3791 2006-12-26
1568544591 Community Medical Center Pharmacy 10278 Old #6 Highway, Vance, SC 29163 2006-10-19
1295840148 Medical University of Sc Pharmacy 650 Ellis Oak Dr Rm 119, Charleston, SC 29412-3089 2006-08-20
1760596746 Recovery Concepts LLC Pharmacy 124 Boardwalk Dr Ste A, Ridgeland, SC 29936-7994 2006-08-18
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Competitor

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City FARIFAX
Zip Code 29827

Improve Information

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Dataset Information

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.

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