PARK PHARMACY, INC (NPI# 1104022516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104022516 |
| Entity Type | Organization |
| Organization Name | PARK PHARMACY, INC |
| Practice Address |
9 E Main St Ware Shoals SC 29692-1301 |
| Practice Telephone | 8644567411 |
| Practice Fax Number | 8644563026 |
| Mailing Telephone | 8644567411 |
| Mailing Fax Number | 8644563026 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARVIN R CRAWFORD (OWNER) |
| Authorized Official Telephone | 8644567411 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 715701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679679138 | Park Pharmacy, Inc | Pharmacist | 9 E Main St, Ware Shoals, SC 29692-1301 | 2006-09-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PARK PHARMACY, INC. | 401 Ne Ravenna Blvd, Seattle, WA 98115-8443 |
| Street Address |
9 E MAIN ST |
| City | WARE SHOALS |
| State | SC |
| Zip Code | 29692-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679679138 | Park Pharmacy, Inc | Pharmacist | 9 E Main St, Ware Shoals, SC 29692-1301 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1639541972 | Ally Child and Family Counseling, LLC | Counselor | 2924 Nation Road, Ware Shoals, SC 29692 | 2015-10-27 |
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1629136858 | West End Drug Inc | Pharmacist | 80 N Greenwood Ave, Ware Shoals, SC 29692 | 2006-12-04 |
| 1043229982 | Bennie S Henderson | Nurse Practitioner | 157 B S Greenwood Ave Ext, Ware Shoals, SC 29692 | 2006-08-07 |
| 1053629519 | Stacey Bass | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-18 |
| 1205144490 | Joseph Seth Pulley | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-22 |
| 1992038533 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2009-09-15 |
| 1689858367 | Harmony Residential Care Center, LLC | Assisted Living Facility | 10 N Greenwood Ave, Ware Shoals, SC 29692-1239 | 2007-12-18 |
| 1699119263 | Alison M Richter | Psychologist | 25 E Main St, Ware Shoals, SC 29692-1338 | 2013-04-25 |
| Find all providers in zip 29692 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992038533 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1457950875 | 360 Durable Medical Supplies & Equipment | Durable Medical Equipment & Medical Supplies | 1314 N Main St Ste D, Fountain Inn, SC 29644-1332 | 2020-10-19 |
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| 1700483971 | Rsfh - Ati Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 8950 University Blvd Ste 200a, North Charleston, SC 29406-9115 | 2020-10-01 |
| 1356955983 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 1400 Pickens St Fl 3, Columbia, SC 29201-3465 | 2020-09-01 |
| 1437769494 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 1400 W Georgia Rd, Simpsonville, SC 29680-6305 | 2020-08-05 |
| 1154947208 | Southern Way Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 145 Thomas Green Blvd Ste 100, Clemson, SC 29631-2172 | 2020-06-24 |
| 1841812252 | Yolanda Yvonne Ervin | Durable Medical Equipment & Medical Supplies | 1030 Oakland Ave Ste 104, Rock Hill, SC 29732-3074 | 2020-05-08 |
| 1750901674 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 100 Wade Hampton Blvd, Greenville, SC 29609-5735 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
| City | WARE SHOALS |
| Zip Code | 29692 |
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| 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.