LONGS DRUGS OF CHESTERFIELD SC INC (NPI# 1073698338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073698338 |
| Entity Type | Organization |
| Organization Name | LONGS DRUGS OF CHESTERFIELD SC INC |
| Other Organization Name | CHESTERFIELD DRUG COMPANY |
| Practice Address |
139 Main St Chesterfield SC 29709-1702 |
| Mailing Address |
Po Box 602677 Charlotte NC 28260-2677 |
| Practice Telephone | 8436232632 |
| Practice Fax Number | 8436236031 |
| Mailing Telephone | 8436232632 |
| Mailing Fax Number | 8436236031 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-03-04 |
| Authorized Official Name | MARSHALL FROST (DIRECTOR OF BUSINESS DEVELOPME) |
| Authorized Official Telephone | 4045836945 |
| Authorized Official Credential | BS PHARM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 15048 | SC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
11839 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 798922 | 05 | |
| PK | 2090207 | 01 |
| Other Name | Type Code |
|---|---|
| Chesterfield Drug Company | Doing Business As Name - Organization |
| Street Address |
139 MAIN ST |
| City | CHESTERFIELD |
| State | SC |
| Zip Code | 29709-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657123 | Emily Smith Caskey | Pharmacist | 139 Main St, Chesterfield, SC 29709-1702 | 2017-08-31 |
| 1003167180 | Billie Eason Dean | Pharmacist | 139 Main St, Chesterfield, SC 29709-1702 | 2012-09-28 |
| 1336490598 | Karen Atkinson Watson | Pharmacist | 139 Main St, Chesterfield, SC 29709-1702 | 2012-09-27 |
| 1467537720 | Tommy R Atkinson | Pharmacist | 139 Main St, Chesterfield, SC 29709-1702 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964433 | Andrea Jean Horn | Counselor | 207 Perry Wiley Way, Chesterfield, SC 29709 | 2020-02-17 |
| 1851639207 | Jennifer Fuentes Perez | Psychologist | 207 Commerce Drive, Chesterfield, SC 29709 | 2013-01-18 |
| 1114068301 | Turning Point Boys Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3184 Hunts Mill Road, Chesterfield, SC 29709 | 2007-02-09 |
| 1083752505 | William Luke Perdue Sr. | Dentist | 220 South Craig St, Chesterfield, SC 29709 | 2007-02-05 |
| 1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
| 1619089729 | Bonnie J Cundiff | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-08-31 |
| 1730291857 | Gregory Lee Demby | Counselor | 207 Commerce Avenue, Tri County Mhc, Chesterfield, SC 29709 | 2006-08-31 |
| 1457369308 | Charles M Clark Dmd Pa | Dentist | 918 Holly St, Chesterfield, SC 29709 | 2006-08-04 |
| 1669023065 | Tonia Michelle Mcdonald | Counselor | 207 Commerce Ave., Chesterfield, SC 29709 | 2019-09-26 |
| 1437705431 | Madyson Elizabeth Scott | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2019-08-15 |
| Find all providers in zip 29709 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518318203 | Experiencedrx LLC | Pharmacy | 700 Crown Industrial Ct, Suite N and O, Chesterfield, MO 63005-1128 | 2016-06-24 |
| 1891027769 | Forum Rx Inc | Pharmacy | 106b Four Seasons Shopping Center, Chesterfield, MO 63017-3157 | 2010-02-03 |
| 1730311432 | Bridges & James Inc | Pharmacy | 107 West Blvd, Chesterfield, SC 29709-1528 | 2009-08-13 |
| 1932241320 | Forum Center Pharmacy Inc | Pharmacy | 67 Forum Shopping Center, Chesterfield, MO 63017-3006 | 2007-02-13 |
| 1184723488 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 47011 Gratiot Ave, Chesterfield, MI 48051-2761 | 2006-09-22 |
| 1164521464 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 52950 Gratiot Ave, Chesterfield, MI 48051-2046 | 2006-09-22 |
| 1740384411 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 6400 Centralia Rd, Chesterfield, VA 23832-6523 | 2006-09-12 |
| 1790897643 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 33920 23 Mile Rd, Chesterfield, MI 48047-4005 | 2006-08-31 |
| 1548264591 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2005-06-08 |
| 1770985905 | Eversana Life Science Services, LLC | Pharmacy | 17877 Chesterfield Airport Rd, Chesterfield, MO 63005-1211 | 2014-09-18 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 29709 |
Please comment or provide details below to improve the information on LONGS DRUGS OF CHESTERFIELD SC INC.
| 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.