HEDGEMARK BRENTWOOD PHARMACY INC (NPI# 1649250333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649250333 |
Entity Type | Organization |
Organization Name | HEDGEMARK BRENTWOOD PHARMACY INC |
Other Organization Name | PHARMACEUTICAL HEALTH CARE |
Practice Address |
1919 Maybank Hwy Charleston SC 29412-2115 |
Practice Telephone | 8437621177 |
Practice Fax Number | 8437624506 |
Mailing Telephone | 8437621177 |
Mailing Fax Number | 8437624506 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2012-02-21 |
Authorized Official Name | MRS. ELLEN S DURRENCE (VICE PRESIDENT) |
Authorized Official Telephone | 8437621177 |
Authorized Official Credential | R.PH. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
N | 333600000X | Pharmacy | 50-002227 | SC | Suppliers |
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 561663 | 05 |
Other Name | Type Code |
---|---|
Pharmaceutical Health Care | Doing Business As Name - Organization |
Street Address |
1919 MAYBANK HWY |
City | CHARLESTON |
State | SC |
Zip Code | 29412-2115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740303775 | Nancy Ravenel James | Specialist | 1919 Maybank Hwy, Charleston, SC 29412-2115 | 2007-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780219055 | Terra Rae Mchugh | Speech-Language Pathologist | 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 | 2020-03-07 |
1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
1760956619 | Madison Culler, D.m.d., P.a. | Dentist | 211 Simmons Street, Mount Pleasant, SC 29412 | 2019-01-14 |
1366932717 | Harborview Speech Therapy, LLC | Speech-Language Pathologist | 783 Stebbins Street, Charleston, SC 29412 | 2018-05-11 |
1780193003 | Grace K Cotton | Speech-Language Pathologist | 1265 Marshview Dr, Charleston, SC 29412 | 2017-09-29 |
1639628449 | Matthew Husband | Occupational Therapist | 930 Folly Road, Suite B, Charleston, SC 29412 | 2016-09-22 |
1679941843 | Renee Poser | Pharmacist | 907 Folly Rd Suite A, James Island, SC 29412 | 2015-09-04 |
1508205717 | Amanda Marie Ashcraft | Dental Hygienist | 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 | 2013-06-20 |
1104147818 | Glendolyn Harrison | Social Worker | 125e Wappoo Creek Drive, Suite 101e, Charleston, SC 29412 | 2010-06-16 |
1487986055 | Rachel E. Brunette | Physical Therapist | 418 B Folly Rd., Charleston, SC 29412 | 2010-02-08 |
Find all providers in zip 29412 |
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 |
---|---|---|---|---|
1255938320 | Peninsula Cosmetic and Family Dentistry, Inc. | Durable Medical Equipment & Medical Supplies | 538 Savannah Hwy, Charleston, SC 29407-7210 | 2020-10-02 |
1174156061 | Dasco-camc Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2120 Pennsylvania Ave Ste 1, Charleston, WV 25302-4135 | 2020-02-19 |
1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
1669021770 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1411 Folly Rd, Charleston, SC 29412-9562 | 2019-09-11 |
1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
1841765559 | Midwest Medical Associates, Inc. | Durable Medical Equipment & Medical Supplies | 211 King St Ste 103, Charleston, SC 29401-3184 | 2018-10-09 |
1891299681 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 418 Virginia St W, Charleston, WV 25302-2008 | 2018-03-19 |
1821513235 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1812 Sam Rittenberg Blvd Ste 2, Charleston, SC 29407-4868 | 2017-08-07 |
1841721537 | Tac Med | Durable Medical Equipment & Medical Supplies | 1473 Ashley Garden Blvd, Charleston, SC 29414-9126 | 2017-03-23 |
1730540287 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2093 Henry Tecklenburg Dr Ste 303e, Charleston, SC 29414-5743 | 2016-03-11 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 29412 |
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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.