IRMO FAMILY PHARMACY LLC (NPI# 1366531055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366531055 |
| Entity Type | Organization |
| Organization Name | IRMO FAMILY PHARMACY LLC |
| Practice Address |
7001 St Andrews Rd A-16 Columbia SC 29212 |
| Practice Telephone | 8037499988 |
| Practice Fax Number | 8037499096 |
| Mailing Telephone | 8037499988 |
| Mailing Fax Number | 8037499096 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-03-21 |
| Authorized Official Name | MR. PHILLIP D MIMS (PRESIDENT) |
| Authorized Official Telephone | 8039173627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 50007248 | SC | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 50009341 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4224870 | 01 | |
| NCPDP | 4224870 | 01 | |
| SC | 772483 | 05 |
| Street Address |
7001 ST ANDREWS RD A-16 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
| 1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
| 1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
| 1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
| 1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
| 1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
| 1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
| 1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
| 1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
| 1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
| Find all providers in zip 29212 | ||||
| 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] |
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| 1861931578 | Chemist LLC | Pharmacy | 908 Highway 13 S, Columbia, MS 39429-3590 | 2017-02-14 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1982099107 | Columbia Town Center Pharmacy | Pharmacy | 5550 Sterrett Pl Ste 103, Columbia, MD 21044-2625 | 2015-04-03 |
| 1417364662 | North Century Pharmacy, Inc. | Pharmacy | 3058 Campbellsville Rd, Columbia, KY 42728-9511 | 2014-07-21 |
| 1104269620 | American Specialty Pharmacy Inc | Pharmacy | 5500 Knoll North Dr Ste 140, Columbia, MD 21045-2360 | 2013-04-15 |
| 1073860367 | Panda Investment Partners LLC | Pharmacy | 301 Rice Meadow Way Ste 5, Columbia, SC 29229-8404 | 2012-08-06 |
| 1821357120 | Wegmans Food Markets, Inc. | Pharmacy | 8855 Mcgaw Rd, Columbia, MD 21045-4713 | 2012-05-08 |
| 1770849424 | Compounder, LLC | Pharmacy | 6345 Woodside Court #102, Columbia, MD 21046-3224 | 2012-04-06 |
| 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.