ELGIN PHARAMACY (NPI# 1558572362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558572362 |
| Entity Type | Organization |
| Organization Name | ELGIN PHARAMACY |
| Practice Address |
1107 Ross St. Elgin SC 29045 |
| Mailing Address |
Po Box 749 1107 Ross St. Elgin SC 29045-0749 |
| Practice Telephone | 8034385732 |
| Practice Fax Number | 8034384657 |
| Mailing Telephone | 8034385732 |
| Mailing Fax Number | 8034384657 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FREDDY MUBARAK (PHARMACIST) |
| Authorized Official Telephone | 8034385735 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 50002037 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 720376 | 05 |
| Street Address |
1107 ROSS ST. |
| City | ELGIN |
| State | SC |
| Zip Code | 29045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023176658 | Elgin Pharmacy, Inc. | Pharmacist | 1107 Ross St., Elgin, SC 29045 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1265089494 | Felicity Garrick | Occupational Therapist | 385 Spears Creek Church Road, Elign, SC 29045 | 2019-08-22 |
| 1629537303 | Traisha White Campfield | Pharmacist | 1107 Ross St, Elgin, SC 29045 | 2019-03-13 |
| 1922526722 | Talesia Jackson | Specialist/Technologist | 1127 Triple Crown Court, Elgin, SC 29045 | 2017-09-01 |
| 1649697228 | All South Case Management | Exclusive Provider Organization | 216 Sunday Silence Lane, Elgin, SC 29045 | 2014-03-21 |
| 1235481151 | Karen C. Taylor | Counselor | 2439 Main Street, Elgin, SC 29045 | 2012-10-03 |
| 1306135975 | Aftercare Medical Equipment & Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1105 Ross St, Elgin, SC 29045 | 2011-04-04 |
| 1902032345 | Aftercare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1107 Ross Street, Elgin, SC 29045 | 2009-05-29 |
| 1962691592 | Pontiac Pharmacy | Pharmacy | 10535 A Two Notch Rd, Elgin, SC 29045 | 2007-10-19 |
| 1154529576 | Sarah Jones Disasa | Speech-Language Pathologist | 203 Parrish Walk, Elgin, SC 29045 | 2007-07-06 |
| Find all providers in zip 29045 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265920631 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 1360 Madeline Ln Ste 500, Elgin, IL 60124-8835 | 2018-05-01 |
| 1205257110 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1320 Hwy 290 E, Elgin, TX 78621-2128 | 2013-12-18 |
| 1598190936 | Global Medical Services LLC | Durable Medical Equipment & Medical Supplies | 707 Davis Rd Ste 102b, Elgin, IL 60123-1307 | 2013-09-04 |
| 1720349202 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1000 S Randall Rd, Elgin, IL 60123-4108 | 2012-05-31 |
| 1902032345 | Aftercare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1107 Ross Street, Elgin, SC 29045 | 2009-05-29 |
| 1275785446 | Shino Medical Services Inc | Durable Medical Equipment & Medical Supplies | 909a Carriageway, Unit 1, Elgin, IL 60120-2590 | 2008-10-18 |
| 1407036171 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 705 Tollgate Rd, Suite F, Elgin, IL 60123-9327 | 2007-11-09 |
| 1811182132 | Victory Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8209 Hwy 277 Ste C, Victory Medical Equipment LLC, Elgin, OK 73538 | 2007-09-10 |
| 1760690077 | Angel Grove Investments LLC | Durable Medical Equipment & Medical Supplies | 303 Arbors Cir, Elgin, TX 78621-5616 | 2007-05-18 |
| 1992922348 | Bloomingrose Medical Supplies and Hospital Equipment Comapany | Durable Medical Equipment & Medical Supplies | 19 N State St, Elgin, IL 60123-5413 | 2007-04-19 |
| Find all providers in ELGIN | ||||
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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.