S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL (NPI# 1174969935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174969935 |
| Entity Type | Organization |
| Organization Name | S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL |
| Other Organization Name | DHEC PEE DEE REGION PHARMACY |
| Practice Address |
1931 Industrial Park Rd Conway SC 29526-5482 |
| Mailing Address |
1751 Calhoun St Columbia SC 29201-2606 |
| Practice Telephone | 8439158820 |
| Mailing Telephone | 8038980813 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-07-01 |
| Authorized Official Name | CAROLINE SOJOURNER (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 8038980813 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 14615 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NCPDP | 4224135 | 01 |
| SC | 714615 | 05 |
| Other Name | Type Code |
|---|---|
| DHEC Pee Dee Region Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760682108 | S.c. Department of Health and Environmental Control | Pharmacy | 1931 Industrial Park Road, Conway, SC 29526 | 2007-07-24 |
| 1366888125 | S.c. Department of Health and Environmental Control | Pharmacy | 3 Charleston Center Dr, Charleston, SC 29401-1162 | 2013-05-20 |
| 1255777017 | S.c. Department of Health and Environmental Control | Pharmacy | 200 University Rdg, Greenville, SC 29601-3635 | 2013-05-20 |
| 1427494285 | S.c. Department of Health and Environmental Control | Pharmacy | 2000 Hampton St, Columbia, SC 29204-1002 | 2013-05-20 |
| 1891985701 | S.c. Department of Health and Environmental Control | Pharmacy | 601 Wilmington St, Beaufort, SC 29902-4956 | 2007-07-26 |
| 1013117324 | S.c. Department of Health and Environmental Control | Pharmacy | 1550 Carolina Ave, Orangeburg, SC 29115-4944 | 2007-07-24 |
| 1841490281 | S.c. Department of Health and Environmental Control | Pharmacy | 3 Charleston Center Dr, Charleston, SC 29401-1162 | 2007-07-24 |
| 1134328354 | S.c. Department of Health and Environmental Control | Pharmacy | 200 University Rdg, Greenville, SC 29601-3635 | 2007-07-17 |
| 1588863708 | S.c. Department of Health and Environmental Control | Pharmacy | 2000 Hampton St, Columbia, SC 29204-1002 | 2007-07-17 |
| 1902005135 | S.c. Department of Health and Environmental Control | Pharmacy | 145 E Cheves St, Florence, SC 29506-2526 | 2007-07-17 |
| Street Address |
1931 INDUSTRIAL PARK RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-5482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629049382 | Jill E Michael | Nurse Practitioner | 1931 Industrial Park Rd, Conway, SC 29526-5645 | 2006-01-31 |
| 1588263461 | Phyllis W Douglas | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-10-21 |
| 1265045777 | Stefania Serianni | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-08-25 |
| 1427677863 | Amanda Mcdowell | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-04-15 |
| 1881230464 | Debra Todd | Licensed Practical Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-11-19 |
| 1508401555 | Emily Goad Atkinson | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-11-14 |
| 1790338614 | Susan B Metallo | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-07-19 |
| 1376103564 | Jeana Nicole Richardson | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-06-19 |
| 1124684733 | Debra L. Toomey | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-05-20 |
| 1982174983 | Kelly Ann Ryder | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2018-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422179 | Ppg Store 6 LLC | Pharmacy | 2235 Dave Ward Dr Ste 108, Conway, AR 72034-7040 | 2017-12-11 |
| 1386095982 | Conway Medical Park Pharmacy | Pharmacy | 650 United Dr Ste 110, Conway, AR 72032-7000 | 2016-06-24 |
| 1821335845 | 3bg, Inc. | Pharmacy | 810 Amity Rd, Suite 101, Conway, AR 72032-5988 | 2013-01-10 |
| 1760682108 | S.c. Department of Health and Environmental Control | Pharmacy | 1931 Industrial Park Road, Conway, SC 29526 | 2007-07-24 |
| 1326072174 | Kroger Limited Partnership I | Pharmacy | 855 Salem Rd, Conway, AR 72034-4820 | 2006-07-10 |
| 1447282470 | Freds Stores of Tennessee Inc | Pharmacy | 245 East Oak Street, Conway, AR 72032 | 2006-07-07 |
| 1205876059 | Pharmacy Solutions Inc | Pharmacy | 2125 College Ave, Suite 2, Conway, AR 72034 | 2006-06-08 |
| 1306843016 | Baker Drug Company | Pharmacy | 924 Front St, Conway, AR 72032-4304 | 2005-07-07 |
| 1659916344 | Walmart Pharmacy | Pharmacy | 2709 Church St Ste A, Conway, SC 29526-4440 | 2019-11-17 |
| 1790027449 | J J J Smith Inc | Pharmacy | 2235 Dave Ward Dr, Ste 108, Conway, AR 72034-7039 | 2013-03-20 |
| Find all providers in CONWAY | ||||
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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.