PLANTATION PHARMACY AT WAPPOO ROAD INC (NPI# 1154588101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154588101 |
| Entity Type | Organization |
| Organization Name | PLANTATION PHARMACY AT WAPPOO ROAD INC |
| Other Organization Name | PLANTATION PHARMACY AT WAPPO ROAD INC |
| Practice Address |
531 Wappoo Rd Charleston SC 29407-2223 |
| Practice Telephone | 8435561994 |
| Practice Fax Number | 8435561991 |
| Mailing Telephone | 8435561994 |
| Mailing Fax Number | 8435561991 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | DEBORAH DAPORE (OWNER/PHARMACIST,AO) |
| Authorized Official Telephone | 8437959554 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
10532 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2121347 | 01 | |
| SC | 710532 | 05 | |
| SC | 1154588101 | 05 |
| Other Name | Type Code |
|---|---|
| Plantation Pharmacy at Wappo Road Inc | Doing Business As Name - Organization |
| Street Address |
531 WAPPOO RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871595199 | David William Shirley | Pharmacist | 531 Wappoo Rd, Charleston, SC 29407-2223 | 2005-06-01 |
| 1487046561 | Mackenzie Franta | Pharmacist | 531 Wappoo Rd, Charleston, SC 29407-2223 | 2015-02-25 |
| 1386925097 | Jeffrey Ryan Siewicki | Pharmacist | 531 Wappoo Rd, Charleston, SC 29407-2223 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| 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] |
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|---|---|---|---|---|
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1134788649 | Eagle Pharmacy LLC | Pharmacy | 4216 Maccorkle Ave Se Ste 5, Charleston, WV 25304-2539 | 2019-06-08 |
| 1639737349 | Medical University Hospital Authority | Pharmacy | 10 Mcclennan Banks Drive, Charleston, SC 29425-0001 | 2019-05-29 |
| 1134696230 | Holy City Pharmacy LLC | Pharmacy | 354 Folly Rd Ste 1, Charleston, SC 29412-2594 | 2018-10-26 |
| 1013428176 | Longs Drugstores of Sc Inc | Pharmacy | 1481 Tobias Gadson Blvd Ste 2d, Charleston, SC 29407-4794 | 2017-10-17 |
| 1407379449 | Walgreen Co | Pharmacy | 334 E Bay St Unit D, Charleston, SC 29401-1592 | 2017-07-21 |
| 1720495401 | Good Life Apothecary, Inc | Pharmacy | 3212 Penn Ave # 8, Charleston, WV 25302-4537 | 2014-07-15 |
| 1508008202 | Delta of Charleston Inc | Pharmacy | 320 E Bay St, Charleston, SC 29401-1681 | 2009-03-27 |
| 1063507861 | Medisav Homecare Pharmacies Inc. | Pharmacy | 621 E Main, Charleston, AR 72933 | 2006-10-04 |
| 1447354246 | South Carolina Cvs Pharmacy, L.L.C. | Pharmacy | 2566 Ashley River Rd, Charleston, SC 29414-4605 | 2006-09-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on PLANTATION PHARMACY AT WAPPOO ROAD 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.