EDC DRUG STORES INC (NPI# 1316046519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316046519 |
| Entity Type | Organization |
| Organization Name | EDC DRUG STORES INC |
| Other Organization Name | RITE AID PHARMACY 11586 |
| Practice Address |
4730 Forest Drive Columbia SC 29206-3109 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 8037877362 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
50007800 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 738267 | 05 | |
| OTHER ID NUMBER | 4219970 | 01 | |
| SC | 4219970 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 11586 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098676 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1560 Highway 56, Creedmoor, NC 27522 | 2006-09-26 |
| 1225139090 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2455 Us 117 South, Goldsboro, NC 27530 | 2006-09-26 |
| 1689775439 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2462 Wycliff Road, Raleigh, NC 27607-2903 | 2006-09-26 |
| 1629179460 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 5401 North Main Street, Cowpens, SC 29330 | 2006-09-26 |
| 1831290527 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2098 East Fire Tower Road, Greenville, NC 27858-4134 | 2006-09-26 |
| 1154422921 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1500 Martin Luther King Blvd Southeast, Wilson, NC 27893 | 2006-09-26 |
| 1841399086 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 250 Invey Lane, Pinehurst, NC 28374-8803 | 2006-09-22 |
| 1023117264 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1703 Freeway Dr, Reidsville, NC 27320-7121 | 2006-09-22 |
| 1184723314 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 3798 Guess Road, Durham, NC 27705-6909 | 2006-09-22 |
| 1407955602 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1401 Chapin Road, Chapin, SC 29036-8874 | 2006-09-22 |
| Street Address |
4730 FOREST DRIVE |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| 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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| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1205492345 | Denise Jorene Wilkinson | Pharmacy | 108 Park Terrace Dr, Columbia, SC 29212-3713 | 2019-05-14 |
| 1093379521 | Qwik-med Pharmacy LLC | Pharmacy | 369 Locust St Rear, Columbia, PA 17512-1383 | 2019-04-30 |
| 1932682960 | Columbia Rx LLC | Pharmacy | 10798 Hickory Ridge Rd Ste A, Columbia, MD 21044-3646 | 2018-09-14 |
| 1558756072 | Gustafsons Apothecary LLC | Pharmacy | 110a Clemson Rd, Columbia, SC 29229-6544 | 2015-04-01 |
| 1740526276 | Missouri Cvs Pharmacy LLC | Pharmacy | 2400 Bernadette Dr, Columbia, MO 65203-4616 | 2013-01-03 |
| 1255680138 | Cvs Pharmacy | Pharmacy | 900 Assembly Street, Columbia, SC 29201-3938 | 2012-09-06 |
| 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.