EDC DRUG STORES INC (NPI# 1538260377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538260377 |
| Entity Type | Organization |
| Organization Name | EDC DRUG STORES INC |
| Other Organization Name | RITE AID PHARMACY 11605 |
| Practice Address |
6950 South Pine Street Pacolet SC 29372 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 8644741145 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-01-05 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
50007825 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 4220478 | 05 | |
| SC | 737707 | 05 | |
| OTHER ID NUMBER | 4220478 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 11605 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098676 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1560 Highway 56, Creedmoor, NC 27522 | 2006-09-26 |
| 1225139090 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2455 Us 117 South, Goldsboro, NC 27530 | 2006-09-26 |
| 1689775439 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2462 Wycliff Road, Raleigh, NC 27607-2903 | 2006-09-26 |
| 1629179460 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 5401 North Main Street, Cowpens, SC 29330 | 2006-09-26 |
| 1831290527 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2098 East Fire Tower Road, Greenville, NC 27858-4134 | 2006-09-26 |
| 1154422921 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1500 Martin Luther King Blvd Southeast, Wilson, NC 27893 | 2006-09-26 |
| 1841399086 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 250 Invey Lane, Pinehurst, NC 28374-8803 | 2006-09-22 |
| 1023117264 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1703 Freeway Dr, Reidsville, NC 27320-7121 | 2006-09-22 |
| 1184723314 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 3798 Guess Road, Durham, NC 27705-6909 | 2006-09-22 |
| 1407955602 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1401 Chapin Road, Chapin, SC 29036-8874 | 2006-09-22 |
| Street Address |
6950 SOUTH PINE STREET |
| City | PACOLET |
| State | SC |
| Zip Code | 29372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124343603 | Sharon Lynn Glass | Pharmacist | 6950 South Pine Street, Pacolet, SC 29372 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619385796 | Amanda Rae Johnson | Pharmacist | 6950 South Pine St, Pacolet, SC 29372 | 2014-08-01 |
| 1619300316 | Healthstat On-site Clinic/milliken Whitestone | Preventive Medicine | 190 Pine Oak Ln, Hwy 295, Spartanburg, SC 29372 | 2013-08-16 |
| 1922443399 | Sharon Huffman Brown | Registered Nurse | 850 Sunny Acres Road, Pacolet, SC 29372 | 2013-04-30 |
| 1205155355 | Jeffrey Stephen | Pharmacist | 6950 S. Pine Street, Pacolet, SC 29372 | 2010-05-27 |
| 1033585526 | Crossroads Youth Ranch | Community/Behavioral Health | 344 Flemming Road, Pacolet, SC 29372-0000 | 2015-08-19 |
| 1710991054 | Pacolet Mills Rescue Squad, Inc | Ambulance | 980 Sunny Acres Road, Pacolet, SC 29372-0980 | 2006-07-29 |
| 1689018095 | Dianne D Arthur | Registered Nurse | 150 Mcdowell St, Pacolet, SC 29372-2022 | 2013-04-29 |
| 1720425689 | Karra Smith Williams | Speech-Language Pathologist | 150 Mcdowell St, Pacolet, SC 29372-2022 | 2013-05-31 |
| 1033633730 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6950 S Pine St, Pacolet, SC 29372-2243 | 2017-08-03 |
| 1881009314 | James Colby Hawkins | Pharmacist | 7013 S Pine St, Pacolet, SC 29372-2246 | 2014-06-23 |
| Find all providers in zip 29372 | ||||
| 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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| 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 | ||||
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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.