LANDRUM DRUG INC (NPI# 1154458503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154458503 |
| Entity Type | Organization |
| Organization Name | LANDRUM DRUG INC |
| Practice Address |
104 West Rutherford Rd Landrum SC 25356-1526 |
| Practice Telephone | 8644572401 |
| Practice Fax Number | 8644572583 |
| Mailing Telephone | 8644572401 |
| Mailing Fax Number | 8644572583 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DENNIS WAYNE BURDETTE (PARTNER) |
| Authorized Official Telephone | 8644572401 |
| Authorized Official Credential | RPH CCN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2482 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 724820 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821264433 | Landrum Drug Inc | Pharmacy | 1319 S Landrum St Ste E, Mount Vernon, MO 65712-1976 | 2008-05-03 |
| 1649227133 | Landrum Drug Inc | Pharmacy | 104 W Rutherford Rd, Landrum, SC 29356 | 2006-05-28 |
| Street Address |
104 WEST RUTHERFORD RD |
| City | LANDRUM |
| State | SC |
| Zip Code | 25356-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849835 | Adam Culbertson | Nurse Practitioner | 209 Lakeview Dr, Landrum, SC 29356-1819 | 2020-07-29 |
| 1790394989 | Margaret Pahl | Dentist | 1730 Highway 14 E, Landrum, SC 29356-9727 | 2020-07-23 |
| 1710503826 | Lily Roxburgh | Occupational Therapist | 424 Highway 101, Landrum, SC 29356-8980 | 2020-06-24 |
| 1376039461 | Virginia Neely Todd | Dentist | 1730 Sc-14, Landrum, SC 29356 | 2018-07-02 |
| 1992296172 | Wanda J Starling Md LLC | Family Medicine | 1014 S Blackstock Road, Landrum, SC 29356-9136 | 2018-05-23 |
| 1477070480 | Vetrano Group LLC | Pharmacy | 611 E Rutherford St, Landrum, SC 29356-1654 | 2017-08-30 |
| 1598290496 | Maria White | Interpreter | 100 Dill Cir, Landrum, SC 29356-9717 | 2017-04-27 |
| 1316499650 | Ansley Lynn Campbell | Occupational Therapy Assistant | 330 Highway 101, Landrum, SC 29356-9216 | 2016-11-03 |
| 1558815803 | John Moneyhun | Dentist | 502 E Rutherford St, Landrum, SC 29356-1632 | 2016-08-03 |
| 1215380480 | Jordan Hawkins | Specialist/Technologist | 100 Redland Rd, Landrum, SC 29356-1717 | 2016-07-22 |
| Find all providers in LANDRUM | ||||
| 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 |
|---|---|---|---|---|
| 1770686446 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 303 E Rutherford St, Landrum, SC 29356-1627 | 2006-09-07 |
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|---|---|---|---|---|
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| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 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 |
| 1255938320 | Peninsula Cosmetic and Family Dentistry, Inc. | Durable Medical Equipment & Medical Supplies | 538 Savannah Hwy, Charleston, SC 29407-7210 | 2020-10-02 |
| 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 |
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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.