CHARLESTON ENT ASSOCIATES LLC


Address: 180 Wingo Way, Suite 103, Mt Pleasant, SC 29464-1810
Phone: 8432168774

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
22628 SC Suppliers

Other Provider/Organization Names

Other Name Type Code
Charleston ENT SMP Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 180 WINGO WAY
SUITE 103
City MT PLEASANT
State SC
Zip Code 29464-1810

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City MT PLEASANT
Zip Code 29464

Improve Information

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Dataset Information

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.

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