THE MEDICINE SHOPPE #1425 (NPI# 1386789915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386789915 |
| Entity Type | Organization |
| Organization Name | THE MEDICINE SHOPPE #1425 |
| Other Organization Name | CREECH DOUGLAS INC |
| Practice Address |
101 Hwy 301 South Dillon SC 29536-3447 |
| Mailing Address |
101 Hwy 301 South Po Box 867 Dillon SC 29536-3447 |
| Practice Telephone | 8438419600 |
| Practice Fax Number | 8437743860 |
| Mailing Telephone | 8438419600 |
| Mailing Fax Number | 8437743860 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MS. LISA CREECH DOUGLAS (CEO) |
| Authorized Official Telephone | 8438419600 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | THE MEDICINE SHOPPE #1425 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
50003431 | SC | Suppliers |
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 183500000X | Pharmacist | 7462 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4219538 | 01 | |
| OTHER ID NUMBER | 4219538 | 01 |
| Other Name | Type Code |
|---|---|
| Creech Douglas Inc | Other Name - Individual/Organization |
| Street Address |
101 HWY 301 SOUTH |
| City | DILLON |
| State | SC |
| Zip Code | 29536-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648858 | Melanie Daniels Smith | Registered Nurse | 1803 Joan Drive, Dillon, SC 29536 | 2020-10-26 |
| 1740888197 | Ashlyn Syvanna Arnette | Registered Nurse | 1001 West Calhoun Street, Dillon, SC 29536 | 2020-10-16 |
| 1245846179 | Chasity Nichole Chavis | Registered Nurse | 2159 Hwy 9 West, Dillon, SC 29536 | 2020-09-16 |
| 1376047811 | Medysis Healthcare | Home Health | 1000 N. Us 301, Dillon, SC 29536 | 2018-03-20 |
| 1548768278 | Medysis Healthcare | Home Health | 1000 N. Us-301, Dillon, SC 29536 | 2018-01-29 |
| 1639547565 | Tynia S Thomas | Counselor | 1324 Commerce, Dillon, SC 29536 | 2015-09-09 |
| 1528457967 | David Brown | Pharmacist | 804 Enterprise Rd, Dillon, SC 29536 | 2015-01-22 |
| 1891103701 | Fairlynn Grooms | Pharmacist | 611 U.S. 301 Highway, Dillon, SC 29536 | 2014-07-24 |
| 1790035483 | Lindsay Elizabeth Hyduke | Pharmacist | 1211 Hwy 301 North, Dillon, SC 29536 | 2012-09-11 |
| 1386932838 | Nardin Nabil Khalil | Family Medicine | 603 North 6th Avenue, Dillon, SC 29536 | 2011-07-19 |
| Find all providers in zip 29536 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558886986 | Ursula Fiala | Pharmacist | 300 Us Hwy 6, Dillon, CO 80435-1548 | 2017-08-07 |
| 1528457967 | David Brown | Pharmacist | 804 Enterprise Rd, Dillon, SC 29536 | 2015-01-22 |
| 1861899544 | Kristen Oakley | Pharmacist | City Market Pharmacy, 300 U.S. 6, Dillon, CO 80435 | 2014-11-25 |
| 1891103701 | Fairlynn Grooms | Pharmacist | 611 U.S. 301 Highway, Dillon, SC 29536 | 2014-07-24 |
| 1396161477 | Cynthia D Williams | Pharmacist | 805 Enterprise Rd, Wal-mart Pharmacy, Dillon, SC 29536-7821 | 2014-03-12 |
| 1790035483 | Lindsay Elizabeth Hyduke | Pharmacist | 1211 Hwy 301 North, Dillon, SC 29536 | 2012-09-11 |
| 1174807176 | Jason Briscoe Lowry Jr. | Pharmacist | 611 Hwy 301 N, Dillon, SC 29536-2636 | 2011-10-10 |
| 1962797852 | Shrina Amin | Pharmacist | 611 Highway 301 N, Dillon, SC 29536-2446 | 2011-06-18 |
| 1497930341 | Jody I Bowman | Pharmacist | 330 Rodeo Trl, Dillon, MT 59725-8599 | 2008-01-09 |
| 1952944811 | Charles Lee Adams | Pharmacist | 570 N Montana St, Dillon, MT 59725-3315 | 2019-10-23 |
| Find all providers in DILLON | ||||
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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.