MEDI FARE DRUG AND HOME HEALTH CENTER INC (NPI# 1477679843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477679843 |
| Entity Type | Organization |
| Organization Name | MEDI FARE DRUG AND HOME HEALTH CENTER INC |
| Practice Address |
300 W Pine St Blacksburg SC 29702-1548 |
| Practice Telephone | 8648396384 |
| Practice Fax Number | 8648393513 |
| Mailing Telephone | 8648396384 |
| Mailing Fax Number | 8648393513 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. PATRICIA BALOGA (OWNER PHARMACIST) |
| Authorized Official Telephone | 8648396384 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
50008084 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 780847 | 05 | |
| SC | PHARMACY PERMIT | 50008084 | 01 |
| Street Address |
300 W PINE ST |
| City | BLACKSBURG |
| State | SC |
| Zip Code | 29702-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389159 | Medi-fare Drug & Home Health Center Inc | Durable Medical Equipment & Medical Supplies | 300 W Pine St, Blacksburg, SC 29702-1548 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316315054 | Jim Nasim Dmd, Pa | Dentist | 305 West Pine Street, Blacksburg, SC 29702 | 2015-09-11 |
| 1396163317 | Tammie Peterson | Licensed Practical Nurse | 402 Hardin Street, Blacksburg, SC 29702 | 2014-04-07 |
| 1861810343 | Tamera Randolph | Registered Nurse | 201 W. Ramseur Dr., Blackburg, SC 29702 | 2014-04-02 |
| 1821424045 | Healthstat On-site Clinic/milliken Allen | Preventive Medicine | 164 Milliken St, Blacksburg, SC 29702 | 2013-09-19 |
| 1942636154 | Healthstat On-site Clinic/milliken Magnolia | Preventive Medicine | 157 Milliken Rd., Blacksburg, SC 29702 | 2013-09-19 |
| 1366605214 | Leah Quirita Walden | Dentist | 2022 Cherry Road, Rock Hill, SC 29702 | 2008-07-09 |
| 1972792398 | Ron C Sisk | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702 | 2007-10-22 |
| 1952347320 | Philip Edward Brafford Jr. | Chiropractor | 1742 W Cherokee Street, Blacksburg, SC 29702 | 2006-06-22 |
| 1457828329 | Supreme Management and Associates, LLC | Home Health | 107 1/2 W Cherokee St, Blacksburg, SC 29702-1501 | 2018-10-30 |
| 1518221258 | Jamie S Earls | Massage Therapist | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2012-06-27 |
| Find all providers in zip 29702 | ||||
| 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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|---|---|---|---|---|
| 1063515708 | Virginia Cvs Pharmacy LLC | Pharmacy | 1775 S Main St, Blacksburg, VA 24060-5825 | 2006-09-07 |
| 1629591698 | Walgreen Co | Pharmacy | 850 University City Blvd, Blacksburg, VA 24060-2708 | 2017-07-21 |
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| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
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| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 29702 |
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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.