PALMETTO SPECIALTY PHARMACY (NPI# 1295166742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295166742 |
| Entity Type | Organization |
| Organization Name | PALMETTO SPECIALTY PHARMACY |
| Other Organization Name | PALMETTO SPECIALTY PHARMACY |
| Practice Address |
172 Mcswain Dr Ste C West Columbia SC 29169-4804 |
| Mailing Address |
172 Mcswain Dr Suite C West Columbia SC 29169-4804 |
| Practice Telephone | 8037241501 |
| Practice Fax Number | 8552861676 |
| Mailing Telephone | 8037241501 |
| Mailing Fax Number | 8552861676 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |
| Authorized Official Name | CONNIE HARTLEY (VICE-PRESIDENT) |
| Authorized Official Telephone | 8032275447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
14939 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2143309 | 01 |
| Other Name | Type Code |
|---|---|
| Palmetto Specialty Pharmacy | Doing Business As Name - Organization |
| Street Address |
172 MCSWAIN DR STE C |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1982919874 | P I Stores Inc | Pharmacy | 640 Congaree Rd, Greenville, SC 29607-3518 | 2010-08-16 |
| 1225287451 | Indian Land Pharmacy | Pharmacy | 8437 Charlotte Hwy, Indian Land, SC 29707-7587 | 2008-09-11 |
| 1003003823 | Pure Compounding | Pharmacy | 3072 Dick Pond Rd, Ste 2, Myrtle Beach, SC 29588-6954 | 2007-09-25 |
| 1497847214 | Oconee Apothecaries Inc | Pharmacy | 115 N Townville St, Seneca, SC 29678-3254 | 2006-09-29 |
| 1639276561 | Palmetto State Pharmaceuticals Inc | Pharmacy | 2000 Sam Rittenberg Blvd, Suite 116, Charleston, SC 29407-4629 | 2006-09-20 |
| 1902430267 | Spartanburg Regional Health Services District, Inc. | Pharmacy | 2759 S Highway 14, Greer, SC 29650-4926 | 2020-02-26 |
| 1548770746 | Genesis Health Care, Inc | Pharmacy | 201 Cashua St, Darlington, SC 29532-3301 | 2017-10-03 |
| 1417316548 | Tidewater Pharmacy & Medical Supply LLC | Pharmacy | 421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, SC 29464-3052 | 2016-02-17 |
| 1881088805 | Dotties Pharmacy LLC | Pharmacy | 325 Folly Rd, Charleston, SC 29412-2507 | 2015-03-27 |
| 1982974390 | Spartanburg Regional Health Services District, Inc. | Pharmacy | 100 E Wood St Ste 101, Spartanburg, SC 29303-3001 | 2012-01-03 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.