MANIFEST PHARMACY, LLC (NPI# 1902374598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902374598 |
| Entity Type | Organization |
| Organization Name | MANIFEST PHARMACY, LLC |
| Practice Address |
1018 S Batesville Rd Bldg 4-a Greer SC 29650-4586 |
| Practice Telephone | 8644791471 |
| Mailing Telephone | 8644791471 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | VICTOR BAKHOUM (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 8886140119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 715019 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811205081 | Manifest Pharmacy, LLC | Pharmacy | 1018 S Batesville Rd # 4-a, Greer, SC 29650-4586 | 2010-09-21 |
| Street Address |
1018 S BATESVILLE RD BLDG 4-A |
| City | GREER |
| State | SC |
| Zip Code | 29650-4586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946424 | Paul Wong | Family Medicine | 109 Physicians Drive Suite A, Greer, SC 29650 | 2020-06-12 |
| 1992273684 | Christopher Michael Campbell | Pharmacist | 845b S Buncombe Rd, Greer, SC 29650 | 2018-11-12 |
| 1376035618 | Jessica Miller | Dentist | 1494 W Wade Hampton Blvd Ste D, Greer, SC 29650 | 2018-06-02 |
| 1992212872 | Greenville Health Corporation | Pharmacy | 845 S Buncombe Rd Ste D, Greer, SC 29650 | 2018-01-02 |
| 1114432077 | Spartanburg Medical Center | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200m, Greer, SC 29650 | 2017-12-13 |
| 1437679750 | Sanders Healthcare LLC | Home Health | 110 W. Church St., Suite A, Greer, SC 29650 | 2017-06-27 |
| 1306291117 | James Elliott Crouch | Occupational Therapy Assistant | 1305 Boilings Springs Rd., Greer, SC 29650 | 2016-04-29 |
| 1033593389 | Premier Medical Transport Service | Non-emergency Medical Transport (VAN) | 120 Glenaire Dr, Greer, SC 29650 | 2015-07-16 |
| 1104176429 | Suchi Chomal | Pharmacist | 6 Colby Ct, Greer, SC 29650 | 2012-09-13 |
| 1447500822 | John Varner | Pharmacist | 821 S. Batesville Road, Greer, SC 29650 | 2012-09-13 |
| Find all providers in zip 29650 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1447745773 | Roshonda Morrison | Pharmacy | 10 Quail Ridge Dr, Beaufort, SC 29906-9060 | 2018-06-28 |
| 1497039390 | Medical University Hospital Authority | Pharmacy | 230 Albemarle Rd, Wh 126, Charleston, SC 29407-7522 | 2011-10-11 |
| 1952612848 | Peacock Pharmacy LLC | Pharmacy | 2099 E Main St Ste G, Duncan, SC 29334-8886 | 2010-06-25 |
| 1942528278 | Peacock Pharmacy LLC | Pharmacy | 550 S Church St Ste 9, Spartanburg, SC 29306-3306 | 2010-05-11 |
| 1073847463 | Piggly Wiggly Retail Stores, Inc. | Pharmacy | 4430 Hwy. 17 Bypass, Murrell's Inlet, SC 29576 | 2009-10-01 |
| 1669515763 | At Home Pharmacy | Pharmacy | 112 White Oak Ln # J, Lexington, SC 29073-9465 | 2007-02-15 |
| 1124011226 | Aftercare Home Medical Equipment Inc | Pharmacy | 316 S Congress St, Winnsboro, SC 29180-1404 | 2005-08-24 |
| 1770994956 | Apothecorp LLC | Pharmacy | 1393 Celanese Rd, Rock Hill, SC 29732-1722 | 2014-05-09 |
| 1710022322 | Diabetic Supply Source, Inc | Pharmacy | 2805 Millwood Ave, Columbia, SC 29205-1298 | 2007-02-21 |
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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.