LAKE WYLIE HEALTHCARE, LLC


Address: 5420 Highway 55 E, Lake Wylie, SC 29710-8586
Phone: 8036314466

LAKE WYLIE HEALTHCARE, LLC (NPI# 1114142528) 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) 1114142528
Entity Type Organization
Organization Name LAKE WYLIE HEALTHCARE, LLC
Practice Address 5420 Highway 55 E
Lake Wylie
SC 29710-8586
Practice Telephone 8036314466
Practice Fax Number 8036314477
Mailing Telephone 8036314466
Mailing Fax Number 8036314477
Enumeration Date 2007-04-13
Last Update Date 2020-08-22
Authorized Official Name MR. FRANK TAMBERELLI (PRESIDENT)
Authorized Official Telephone 8036314466
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 50007181 SC Pharmacy Service Providers

Office Location

Street Address 5420 HIGHWAY 55 E
City LAKE WYLIE
State SC
Zip Code 29710-8586

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346728243 Jessica Pampalone Pharmacist 175 Sc-274, Lake Wylie, SC 29710 2018-08-02
1932628344 Andrew Thomas Sullivan Student in an Organized Health Care Education/Training Program 106 Mccall Street, Clover, SC 29710 2017-09-18
1619423449 Dental Professionals of South Carolina, P.C. Dentist 209 Latitude Lane, Clover, SC 29710 2016-08-31
1932538816 Tara Mehta Psychologist 48 Fairway Rdg, Clover, SC 29710 2013-11-01
1710238795 Hong N Mitchell Pharmacist 158 Hwy. 274, Lake Wylie, SC 29710 2012-10-01
1790948602 Barbara Ellen Anslow-myers Speech-Language Pathologist 530 Little Cove Lane, Lake Wylie, SC 29710 2008-07-10
1720200884 Lake Wylie Assisted Living Facility 4877 Charlotte Highway, Lake Wylie, SC 29710 2007-05-02
1790804581 Phillip Russell Sanford Pharmacist 3272 Wicklow Ln, Clover, SC 29710 2007-03-29
1124158472 Thomas N Stall Sr. Dentist 1100 Village Harbor Dr., Lake Wylie, SC 29710 2007-03-06
1043369457 John Frank Ruocco Dentist 140 Highway 274, Clover, SC 29710 2007-01-09
Find all providers in zip 29710

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346728243 Jessica Pampalone Pharmacist 175 Sc-274, Lake Wylie, SC 29710 2018-08-02
1710238795 Hong N Mitchell Pharmacist 158 Hwy. 274, Lake Wylie, SC 29710 2012-10-01
1720337090 Moyosore O Akinrimisi Pharmacist 158 Highway 274, Lake Wylie, SC 29710-6045 2012-09-02
1285930529 Robert Anthony Hojnacki Pharmacist 115 Spinnaker Bay Ln, Lake Wylie, SC 29710-8841 2011-02-03
1750912325 Courtney Elizabeth Allen Pharmacist 221 Latitude Ln Ste 109, Lake Wylie, SC 29710-8117 2020-01-31
1265849533 Mary Mcleod Pharmacist 175 Highway 274, Lake Wylie, SC 29710-6045 2014-07-17
1083032999 Gerardo Martin Pharmacist 175 Highway 274, Lake Wylie, SC 29710-6045 2014-03-29
1700181120 Diana M Mcguire Pharmacist 4724 Charlotte Hwy, Lake Wylie, SC 29710-8095 2011-01-15
1174845283 Beth Nicole Marshall Pharmacist 5220 Highway 557, Lake Wylie, SC 29710-8517 2010-02-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760083828 David Ephriam Wilson V Pharmacist 4099 Red Bluff Rd, Loris, SC 29569-6238 2020-11-05
1609475458 Douglas Hansford Netterville Pharmacist 248 Ivy Woods Ct, Fountain Inn, SC 29644-9256 2020-10-22
1497354385 Caroline Gardner Pharmacist 1062 10th Ave, Aynor, SC 29511 2020-10-21
1972100246 Meet Patel Pharmacist 210 Mcphail Farms Cir, Anderson, SC 29621-2579 2020-10-08
1780281170 Hannah L Russell Pharmacist 2954 Eppington South Dr, Fort Mill, SC 29708-6949 2020-10-08
1235736133 Renisha Rabara Pharmacist 2742 Disney Pl, Indian Land, SC 29707-5957 2020-10-04
1295342517 Brandi Breunta Guinyard Pharmacist 805 Highway 9, Lancaster, SC 29720 2020-09-30
1003423377 Terri Donofrio Pharmacist 5678 Captain Kidd Rd, Hollywood, SC 29449-6801 2020-09-30
1194331280 Bryan Sabo Pharmacist 4361 Sc-24, Anderson, SC 29626 2020-09-23
1770198798 Donnie Eric Ridings Pharmacist 471 Waterford Point Dr, Boiling Springs, SC 29316-7721 2020-09-15
Find all providers with the same taxonomy

Competitor

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City LAKE WYLIE
Zip Code 29710

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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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