LONGS CLOSED DOOR PHARMACY INC (NPI# 1245390707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245390707 |
| Entity Type | Organization |
| Organization Name | LONGS CLOSED DOOR PHARMACY INC |
| Other Organization Name | LONGS CLOSED DOOR PHARMACY |
| Practice Address |
111 Executive Center Dr Ste 222 Columbia SC 29210-8425 |
| Practice Telephone | 8032171088 |
| Practice Fax Number | 8032392104 |
| Mailing Telephone | 8032548775 |
| Mailing Fax Number | 8664583491 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | MARK NEWBERRY (CEO) |
| Authorized Official Telephone | 8032548775 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
15046 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2091791 | 01 | |
| SC | 751195 | 05 |
| Other Name | Type Code |
|---|---|
| Longs Closed Door Pharmacy | Doing Business As Name - Organization |
| Street Address |
111 EXECUTIVE CENTER DR STE 222 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-8425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811248412 | Genoa Healthcare, LLC | Pharmacy | 4 Harbison Way, Columbia, SC 29212-3402 | 2012-09-24 |
| 1043571367 | Nayosha LLC | Pharmacy | 8900 Columbia 100 Pkwy Ste H, Columbia, MD 21045-2336 | 2012-06-04 |
| 1649470220 | Partners Pharmacy of Maryland LLC | Pharmacy | 8910 Route 108, Suite C, Columbia, MD 21045-2151 | 2007-07-20 |
| 1710069596 | Palmetto Rx Solutions Inc | Pharmacy | 8 Harbison Way, Columbia, SC 29212-3402 | 2006-10-20 |
| 1396847653 | Interlock Pharmacy Systems, LLC | Pharmacy | 4509 I-70 Drive S.e., Columbia, MO 65201 | 2006-09-05 |
| 1740201706 | Pltcp LLC | Pharmacy | 317 Zimalcrest Dr, Columbia, SC 29210-6833 | 2006-07-22 |
| 1649228909 | Lifehme, Inc. | Pharmacy | 454 Berryhill Rd, Columbia, SC 29210-6447 | 2006-05-05 |
| 1326042888 | Columbia Discount Drugs, Inc | Pharmacy | 1201 Highway 13 N, Columbia, MS 39429-2015 | 2005-06-11 |
| 1932725033 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2020-06-24 |
| 1336523745 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2015-07-15 |
| Find all providers in COLUMBIA | ||||
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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.