CHARLESTON ENT ASSOCIATES LLC (NPI# 1497184667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497184667 |
Entity Type | Organization |
Organization Name | CHARLESTON ENT ASSOCIATES LLC |
Other Organization Name | CHARLESTON ENT SMP |
Practice Address |
180 Wingo Way Suite 103 Mt Pleasant SC 29464-1810 |
Mailing Address |
2295 Henry Tecklenburg Dr Charleston SC 29414-7801 |
Practice Telephone | 8432168774 |
Mailing Telephone | 8437936402 |
Enumeration Date | 2013-11-07 |
Last Update Date | 2014-06-10 |
Authorized Official Name | JAMES VECCHIOLLA (DIRECTOR OF PHARMACY) |
Authorized Official Telephone | 8437936402 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
22628 | SC | Suppliers |
Other Name | Type Code |
---|---|
Charleston ENT SMP | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487051439 | Charleston Ent Associates LLC | Non-Pharmacy Dispensing Site | 298 Midland Pkwy, Summerville, SC 29485-8101 | 2014-11-19 |
1487262242 | Charleston Ent Associates LLC | Otolaryngology | 832 Cook Rd, Orangeburg, SC 29118-2126 | 2020-07-17 |
1093237117 | Charleston Ent Associates LLC | Otolaryngology | 1231 Ribaut Rd, Beaufort, SC 29902-6147 | 2017-07-11 |
1235576711 | Charleston Ent Associates LLC | Non-Pharmacy Dispensing Site | 3510 N Highway 17, 135, Mt Pleasant, SC 29466-8227 | 2013-05-24 |
1669742144 | Charleston Ent Associates LLC | Pharmacy | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2011-12-30 |
Street Address |
180 WINGO WAY SUITE 103 |
City | MT PLEASANT |
State | SC |
Zip Code | 29464-1810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003815259 | Stanley C Hall | Urology | 180 Wingo Way, Suite 304, Mt Pleasant, SC 29464-1810 | 2005-07-19 |
1114371846 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 180 Wingo Way, Suite 308, Mt Pleasant, SC 29464-1810 | 2016-04-19 |
1285098939 | Lillian Brandt | Specialist | 180 Wingo Way, Suite 301, Mt Pleasant, SC 29464-1810 | 2016-04-08 |
1235598525 | Roper Saint Francis Physicians Network | Internal Medicine | 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 | 2016-02-16 |
1598142101 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 180 Wingo Way, Suite 308, Mt Pleasant, SC 29464-1810 | 2015-05-04 |
1629327713 | Jessica Michelle Chepa | Nurse Practitioner | 180 Wingo Way, Suite 304, Mt Pleasant, SC 29464-1810 | 2012-09-05 |
1093091761 | Jesse William Price IIi | Physician Assistant | 180 Wingo Way, Suite 306, Mt Pleasant, SC 29464-1812 | 2011-10-26 |
1659663441 | Andrew Clarke Flandry | Family Medicine | 180 Wingo Way, Suite 207, Mt Pleasant, SC 29464-1810 | 2011-05-11 |
1053613786 | Brian R Obenza | Physician Assistant | 180 Wingo Way, Suite 204, Mt Pleasant, SC 29464-1810 | 2010-12-01 |
1104128529 | Roper Saint Francis Physicians Network | Surgery | 180 Wingo Way, Suite 308, Mt Pleasant, SC 29464-1810 | 2010-11-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
Find all providers in zip 29464 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003371386 | Tandem Health Sc | Pharmacy | 368 S Pike W, Sumter, SC 29150-2664 | 2019-01-31 |
1962805291 | Palmetto Carolina Treatment Center, LLC | Pharmacy | 325 Inglesby Pkwy Unit F, Duncan, SC 29334-9117 | 2014-10-01 |
1215338058 | Trust Concierge Pharmaceuticals LLC | Pharmacy | 4999 Carolina Forest Blvd Ste 13, Myrtle Beach, SC 29579-3587 | 2014-09-11 |
1689950636 | Crossroads Treatment Center of Columbia | Pharmacy | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2011-10-21 |
1447584115 | Kerr Health, LLC | Pharmacy | 5060 International Blvd Ste 102, Charleston, SC 29418-6008 | 2009-09-28 |
1184844458 | Greenwood Family Practice Inc | Pharmacy | 1226 Spring St, Greenwood, SC 29646-3835 | 2007-04-27 |
1619032034 | Recovery Concepts of Carolina Upst LLC | Pharmacy | 1653 E Main St, Easley, SC 29640-3791 | 2006-12-26 |
1568544591 | Community Medical Center | Pharmacy | 10278 Old #6 Highway, Vance, SC 29163 | 2006-10-19 |
1295840148 | Medical University of Sc | Pharmacy | 650 Ellis Oak Dr Rm 119, Charleston, SC 29412-3089 | 2006-08-20 |
1760596746 | Recovery Concepts LLC | Pharmacy | 124 Boardwalk Dr Ste A, Ridgeland, SC 29936-7994 | 2006-08-18 |
Find all providers with the same taxonomy |
City | MT PLEASANT |
Zip Code | 29464 |
Please comment or provide details below to improve the information on CHARLESTON ENT ASSOCIATES LLC.
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.