MUKTA LLC (NPI# 1790210839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790210839 |
Entity Type | Organization |
Organization Name | MUKTA LLC |
Other Organization Name | BESTRX |
Practice Address |
1103 N Main St Ste E Fountain Inn SC 29644-1336 |
Mailing Address |
400 Abby Cir Greenville SC 29607-6429 |
Practice Telephone | 8642101811 |
Practice Fax Number | 8642101810 |
Mailing Telephone | 8649917972 |
Mailing Fax Number | 8642101810 |
Enumeration Date | 2017-04-26 |
Last Update Date | 2017-04-26 |
Authorized Official Name | ASHISH PATEL (MANAGER) |
Authorized Official Telephone | 8642101811 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
17200 | SC | Suppliers |
Other Name | Type Code |
---|---|
BestRx | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | MUKTA LLC | P.o. Box 215, Gwynedd Valley, Pennsylvania 19437 |
Street Address |
1103 N MAIN ST STE E |
City | FOUNTAIN INN |
State | SC |
Zip Code | 29644-1336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669838991 | Palms Dentistry 225, LLC | Dentist | 208 Harrison Bridge Road, Fountain Inn, SC 29644 | 2015-12-31 |
1902155641 | Leah M Mauritz | Pharmacist | 203 N. Main St., Fountain Inn, SC 29644 | 2012-09-07 |
1164791778 | Lyfe Intervention Services | Community/Behavioral Health | 401 Putman Street, Fountain Inn, SC 29644 | 2011-12-28 |
1629119318 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 810 Dunklin Bridge Road, Fountain Inn, SC 29644 | 2007-02-08 |
1093218992 | Emili Walker Hendrix | Occupational Therapist | 204 Shady Pines Ct, Fountain Inn, SC 29644 | 2018-03-16 |
1841331717 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 810 Dunklin Bridge Road, Fountain Inn, SC 29644 | 2007-02-12 |
1912300971 | Grouphab | Clinic/Center | 30 Howard Creek Dr, Fountain Inn, SC 29644-1318 | 2014-10-06 |
1235653031 | Fountain Inn Dental, LLC | Dentist | 1125 N Main St, Fountain Inn, SC 29644-1322 | 2017-08-02 |
1457950875 | 360 Durable Medical Supplies & Equipment | Durable Medical Equipment & Medical Supplies | 1314 N Main St Ste D, Fountain Inn, SC 29644-1332 | 2020-10-19 |
1457854564 | Tamera Burton Wilson | Specialist | 123 Village Vista Dr, Fountain Inn, SC 29644-1347 | 2018-03-15 |
Find all providers in zip 29644 |
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 |
---|---|---|---|---|
1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
1033745112 | Charleston Oncology, Pa | Pharmacy | 300 Callen Blvd Ste 110, Summerville, SC 29486-2809 | 2020-03-20 |
Find all providers with the same taxonomy |
City | FOUNTAIN INN |
Zip Code | 29644 |
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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.