CHARLESTON ENT ASSOCIATES LLC (NPI# 1669742144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669742144 |
| Entity Type | Organization |
| Organization Name | CHARLESTON ENT ASSOCIATES LLC |
| Other Organization Name | CHARLESTON ENT PHARMACY |
| Practice Address |
2295 Henry Tecklenburg Dr Charleston SC 29414-7801 |
| Practice Telephone | 8437936402 |
| Practice Fax Number | 8662276107 |
| Mailing Telephone | 8437936402 |
| Mailing Fax Number | 8662276107 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | JAMES VECCHIOLLA (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 8437936402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
13762 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2133463 | 01 |
| Other Name | Type Code |
|---|---|
| Charleston ENT Pharmacy | Doing Business As Name - Organization |
| 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 |
| 1497184667 | Charleston Ent Associates LLC | Pharmacy | 180 Wingo Way, Suite 103, Mt Pleasant, SC 29464-1810 | 2013-11-07 |
| 1235576711 | Charleston Ent Associates LLC | Non-Pharmacy Dispensing Site | 3510 N Highway 17, 135, Mt Pleasant, SC 29466-8227 | 2013-05-24 |
| Street Address |
2295 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367433 | Robert Charles Jordan | Otolaryngology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2005-06-24 |
| 1740824309 | Sophie J Ludwig | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2019-11-06 |
| 1861966830 | Savannah Hutto Lawley | Physician Assistant | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2019-01-14 |
| 1306318910 | Taylor Christine Hasbrouck | Physician Assistant | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2018-12-20 |
| 1013493352 | Alexandra Marie Rama | Nurse Practitioner | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2018-07-18 |
| 1114412426 | Kimberly Sawyer | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2018-06-28 |
| 1982198818 | Audrey Elizabeth Rinker | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2018-06-14 |
| 1326561820 | Alexandra L Cavitt | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-07-18 |
| 1427595685 | James Arthur Vecchiolla | Pharmacist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-01-26 |
| 1114472321 | Sarah Bartlett | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2016-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1134788649 | Eagle Pharmacy LLC | Pharmacy | 4216 Maccorkle Ave Se Ste 5, Charleston, WV 25304-2539 | 2019-06-08 |
| 1639737349 | Medical University Hospital Authority | Pharmacy | 10 Mcclennan Banks Drive, Charleston, SC 29425-0001 | 2019-05-29 |
| 1134696230 | Holy City Pharmacy LLC | Pharmacy | 354 Folly Rd Ste 1, Charleston, SC 29412-2594 | 2018-10-26 |
| 1013428176 | Longs Drugstores of Sc Inc | Pharmacy | 1481 Tobias Gadson Blvd Ste 2d, Charleston, SC 29407-4794 | 2017-10-17 |
| 1407379449 | Walgreen Co | Pharmacy | 334 E Bay St Unit D, Charleston, SC 29401-1592 | 2017-07-21 |
| 1720495401 | Good Life Apothecary, Inc | Pharmacy | 3212 Penn Ave # 8, Charleston, WV 25302-4537 | 2014-07-15 |
| 1508008202 | Delta of Charleston Inc | Pharmacy | 320 E Bay St, Charleston, SC 29401-1681 | 2009-03-27 |
| 1063507861 | Medisav Homecare Pharmacies Inc. | Pharmacy | 621 E Main, Charleston, AR 72933 | 2006-10-04 |
| 1447354246 | South Carolina Cvs Pharmacy, L.L.C. | Pharmacy | 2566 Ashley River Rd, Charleston, SC 29414-4605 | 2006-09-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on CHARLESTON ENT ASSOCIATES LLC.
| 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.