LONGS DRUGSTORES OF SC INC (NPI# 1538252671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538252671 |
| Entity Type | Organization |
| Organization Name | LONGS DRUGSTORES OF SC INC |
| Other Organization Name | LONGS KILBOURNE RD PHARMACY |
| Practice Address |
630 Kilbourne Rd Columbia SC 29205-2827 |
| Mailing Address |
Po Box 602682 Charlotte NC 28260-2682 |
| Practice Telephone | 8032544619 |
| Practice Fax Number | 8037650466 |
| Mailing Telephone | 8032544619 |
| Mailing Fax Number | 8037650466 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-05-15 |
| Authorized Official Name | MARSHALL FROST (DIRECTOR OF BUSINESS DEV) |
| Authorized Official Telephone | 4045836945 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
15057 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1538252671 | 05 | |
| PK | 2090209 | 01 |
| Other Name | Type Code |
|---|---|
| LONGS KILBOURNE RD PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013428176 | Longs Drugstores of Sc Inc | Pharmacy | 1481 Tobias Gadson Blvd Ste 2d, Charleston, SC 29407-4794 | 2017-10-17 |
| 1124112479 | Longs Drugstores of Sc Inc | Pharmacy | 8810 Farrow Rd, Ste C, Columbia, SC 29203-8802 | 2006-10-03 |
| 1316030190 | Longs Drugstores of Sc Inc | Pharmacy | 2801 Millwood Ave, Columbia, SC 29205-1257 | 2006-10-02 |
| 1053403964 | Longs Drugstores of Sc Inc | Pharmacy | 115 Blarney Dr Ste 105, Suite 105, Columbia, SC 29223-6291 | 2006-09-28 |
| 1275030645 | Longs Drugstores of Sc Inc | Pharmacy | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2018-04-11 |
| Street Address |
630 KILBOURNE RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29205-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033612429 | Taylor Smith | Pharmacist | 630 Kilbourne Rd, Columbia, SC 29205 | 2018-03-13 |
| 1205353190 | Sharon Jones | Pharmacist | 630 Kilbourne Rd, Columbia, SC 29205 | 2017-08-23 |
| 1336348234 | Rebecca Elaine Long | Pharmacist | 630 Kilbourne Rd, Columbia, SC 29205-2827 | 2007-07-12 |
| 1366588709 | Kimberly Bovenizer Taylor | Pharmacist | 630 Kilbourne Rd, Columbia, SC 29205-2827 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462241 | New Life Home Care LLC | In Home Supportive Care | 4423 Ste. D, Devine Street, Columbia, SC 29205 | 2019-11-25 |
| 1689144222 | Jessica M Jarman LLC | Counselor | 610 Holly St., Columbia, SC 29205 | 2018-11-27 |
| 1073083648 | Christopher James Troyer | Psychologist | 2805 Millwood Ave., Columbia, SC 29205 | 2018-11-27 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| 1699126136 | Steven Matthew Ferrufino | Counselor | 417 S Edisto Ave, Columbia, SC 29205 | 2016-06-27 |
| 1619351863 | Deangela Lenore Delaney | Nurse Practitioner | 2739 Laurel Street, Columbia, SC 29205 | 2015-07-17 |
| 1548677131 | Maegan Elizabeth Dean | Pharmacist | 2708 Rosewood Drive, Columbia, SC 29205 | 2014-07-16 |
| 1144561465 | Abby Habicht | Speech-Language Pathologist | 705 Maple St., H 102, Columbia, SC 29205 | 2013-03-12 |
| 1750630562 | Pamela B. Robertson | Pharmacist | 3312 Devine Street, Columbia, SC 29205 | 2012-09-07 |
| 1609124023 | Kristen Anne Tice | Dietitian, Registered | 1029 Deerwood Street, Columbia, SC 29205 | 2012-08-15 |
| Find all providers in zip 29205 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1205492345 | Denise Jorene Wilkinson | Pharmacy | 108 Park Terrace Dr, Columbia, SC 29212-3713 | 2019-05-14 |
| 1093379521 | Qwik-med Pharmacy LLC | Pharmacy | 369 Locust St Rear, Columbia, PA 17512-1383 | 2019-04-30 |
| 1932682960 | Columbia Rx LLC | Pharmacy | 10798 Hickory Ridge Rd Ste A, Columbia, MD 21044-3646 | 2018-09-14 |
| 1558756072 | Gustafsons Apothecary LLC | Pharmacy | 110a Clemson Rd, Columbia, SC 29229-6544 | 2015-04-01 |
| 1740526276 | Missouri Cvs Pharmacy LLC | Pharmacy | 2400 Bernadette Dr, Columbia, MO 65203-4616 | 2013-01-03 |
| 1255680138 | Cvs Pharmacy | Pharmacy | 900 Assembly Street, Columbia, SC 29201-3938 | 2012-09-06 |
| 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.