BLUE RIDGE PHARMACY INC (NPI# 1780290429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780290429 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE PHARMACY INC |
| Practice Address |
161 Pontiac Business Center Dr Ste 1192 Elgin SC 29045-7123 |
| Mailing Address |
1070 Tunnel Rd Asheville NC 28805-2014 |
| Practice Telephone | 8282987600 |
| Mailing Telephone | 8282987600 |
| Mailing Fax Number | 8282980155 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | DR. WESLEY ANDREW MCCALL (DIRECTOR OF PHARMACY SERVICES) |
| Authorized Official Telephone | 8282987600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Blue Ridge Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659798361 | Blue Ridge Pharmacy Inc | Pharmacist | 805 Fairview Rd, Suite 100, Asheville, NC 28803-1011 | 2014-03-20 |
| 1043386428 | Blue Ridge Pharmacy Inc | Pharmacy | 1070 Tunnel Rd, Asheville, NC 28805-2014 | 2006-11-28 |
| 1538564596 | Blue Ridge Pharmacy Inc | Pharmacist | 600 Carolina Village Rd, Suite Z, Hendersonville, NC 28792-2892 | 2014-11-01 |
| Street Address |
161 PONTIAC BUSINESS CENTER DR STE 1192 |
| City | ELGIN |
| State | SC |
| Zip Code | 29045-7123 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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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|---|---|---|---|---|
| 1053465898 | Elgin Mental Health Center | Pharmacy | 750 S State Street, Elgin, IL 60123-7692 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808035 | Hrm Rx | Pharmacy | 351 S. Midway Hwy Johnsonville, Johnsonville, SC 29555-2955 | 2020-10-12 |
| 1134731649 | Select Care Pharmacy, LLC. | Pharmacy | 480 Jessen Ln Ste A, Charleston, SC 29492-7915 | 2020-08-18 |
| 1700426723 | Sweetgrass Pharmacy & Compounding LLC | Pharmacy | 1952 Long Grove Dr Ste 1, Mt Pleasant, SC 29464-7579 | 2020-01-07 |
| 1780122028 | Hospiconic Southeastern LLC | Pharmacy | 7275 Cross County Rd, Suite E, North Charleston, SC 29418-3318 | 2017-02-07 |
| 1811248412 | Genoa Healthcare, LLC | Pharmacy | 4 Harbison Way, Columbia, SC 29212-3402 | 2012-09-24 |
| 1093987091 | Clarendon Memorial Hospital | Pharmacy | 50 E Hospital St Ste 1, Manning, SC 29102-3149 | 2008-03-31 |
| 1891830899 | Generx Pharmacy | Pharmacy | 429 E Boundary St, Chapin, SC 29036-8388 | 2007-02-20 |
| 1316004633 | Preferred Care Pharmaceutical Services Inc | Pharmacy | 4794 A Hwy 162, Hollywood, SC 29449 | 2007-01-03 |
| 1245390707 | Longs Closed Door Pharmacy Inc | Pharmacy | 111 Executive Center Dr Ste 222, Columbia, SC 29210-8425 | 2006-12-12 |
| 1750456331 | Longs Drugs of Saluda South Longs Drugs | Pharmacy | 307 W Butler Ave, Saluda, SC 29138-1309 | 2006-11-21 |
| 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.