ORANGE CUT RATE DRUG STORE, INC (NPI# 1306326640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306326640 |
| Entity Type | Organization |
| Organization Name | ORANGE CUT RATE DRUG STORE, INC |
| Other Organization Name | GROVE PARK PHARMACY MEDICAL CLINIC |
| Practice Address |
1326 Grove Park Dr Orangeburg SC 29115 |
| Mailing Address |
Po Box 701 Orangeburg SC 29116-0701 |
| Practice Telephone | 8035360007 |
| Practice Fax Number | 8035362962 |
| Mailing Telephone | 8035360007 |
| Mailing Fax Number | 8035362962 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | MR. CHARLES PAGE THOMPSON JR. (OWNER) |
| Authorized Official Telephone | 8035360007 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | ORANGE CUT RATE DRUG STORE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Grove Park Pharmacy Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619464 | Orange Cut Rate Drug Store, Inc | Pharmacy | 1144 Russell St, Orangeburg, SC 29115-4762 | 2005-06-14 |
| 1770588154 | Orange Cut Rate Drug Store, Inc | Pharmacy | 7615 Freedom Rd, Branchville, SC 29432-2315 | 2005-06-14 |
| Street Address |
1326 GROVE PARK DR |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| 1922344381 | Jennifer Theros-clarke | Hearing Instrument Specialist | 1180 Boulevard St, Suite C, Orangeburg, SC 29115 | 2012-12-12 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720413917 | Rukudzo Darlington Mazaiwana | General Practice | 3310 Magnolia St, Orangeburg, SC 29115 | 2013-09-06 |
| 1528234473 | Tanvir Mahtab | General Practice | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2008-05-01 |
| 1356403174 | R Dale Padgett Md Pa New Corp | General Practice | 1727 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-12-15 |
| 1437226768 | Lourdes C. Mandac | General Practice | 140 Old Orangeburg Rd, Rockland Psychiatric Center, Orangeburg, NY 10962-1157 | 2006-11-30 |
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| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
Please comment or provide details below to improve the information on ORANGE CUT RATE DRUG STORE, 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.