PONTIAC PHARMACY (NPI# 1962691592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962691592 |
| Entity Type | Organization |
| Organization Name | PONTIAC PHARMACY |
| Practice Address |
10535 A Two Notch Rd Elgin SC 29045 |
| Practice Telephone | 8038650099 |
| Practice Fax Number | 8038650098 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-11-14 |
| Authorized Official Name | BRIAN DUFFIE (PHCY MANG) |
| Authorized Official Telephone | 8038650099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
50009706 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 4227422 | 01 |
| Street Address |
10535 A TWO NOTCH RD |
| City | ELGIN |
| State | SC |
| Zip Code | 29045 |
| 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 |
| 1154529576 | Sarah Jones Disasa | Speech-Language Pathologist | 203 Parrish Walk, Elgin, SC 29045 | 2007-07-06 |
| 1023176658 | Elgin Pharmacy, Inc. | Pharmacist | 1107 Ross St., Elgin, SC 29045 | 2006-12-05 |
| Find all providers in zip 29045 | ||||
| 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 |
|---|---|---|---|---|
| 1518433077 | Prism Pharmacy LLC | Pharmacy | 1795 Grandstand Pl Ste 2a, Elgin, IL 60123-4980 | 2018-10-22 |
| 1184728024 | Highland Park Cvs, L.L.C. | Pharmacy | 500 Dundee Ave, Elgin, IL 60120-3819 | 2006-09-12 |
| 1255347720 | Walgreen Co | Pharmacy | 815 Summit St, Elgin, IL 60120-4315 | 2006-08-01 |
| 1740230879 | Elgin Pharmacy Inc | Pharmacy | 417 Dundee Ave, Elgin, IL 60120-3830 | 2006-05-11 |
| 1013347905 | Harmony Dme LLC | Pharmacy | 15 N Main St, Elgin, TX 78621-2657 | 2013-11-14 |
| 1235405663 | Elgin West Pharmacy Inc | Pharmacy | 1554 Todd Farm Dr, Elgin, IL 60123-1287 | 2012-03-29 |
| 1700057304 | Village Pharmacy Inc | Pharmacy | 87 N Airlite St, G10, Elgin, IL 60123-4988 | 2008-03-21 |
| 1023036050 | Economy Drug Inc | Pharmacy | 201 N Main St, Elgin, ND 58533 | 2006-07-17 |
| 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 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| 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.