RIDGE LTC PHARMACY, LLC (NPI# 1992293476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992293476 |
| Entity Type | Organization |
| Organization Name | RIDGE LTC PHARMACY, LLC |
| Practice Address |
4079 Augusta Hwy Ste A Gilbert SC 29054 |
| Mailing Address |
Po Box 2407 Leesville SC 29070-0407 |
| Practice Telephone | 8038926789 |
| Practice Fax Number | 8038926789 |
| Mailing Telephone | 8037564175 |
| Mailing Fax Number | 8037564178 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | DENISE G. DERRICK (OWNER/PHARMACIST) |
| Authorized Official Telephone | 8037564175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
17919 | SC | Suppliers |
| Street Address |
4079 AUGUSTA HWY STE A |
| City | GILBERT |
| State | SC |
| Zip Code | 29054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619002722 | Morgan's Pharmacy, LLC | Pharmacy | 4079 Augusta Hwy Ste A, Gilbert, SC 29054-8322 | 2007-02-22 |
| 1659789238 | Ashlyn Clarke Lander | Pharmacist | 4079 Augusta Hwy Ste A, Gilbert, SC 29054-8322 | 2014-07-28 |
| 1255749834 | Christy Bolin | Pharmacist | 4079 Augusta Hwy Ste A, Gilbert, SC 29054-8322 | 2014-07-28 |
| 1558612564 | Bevin Whitman Metts | Pharmacist | 4079 Augusta Hwy Ste A, Gilbert, SC 29054-8322 | 2012-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376829374 | Denise G. Derrick | Pharmacist | 4079 Augusta Highway, Suite A, Gilbert, SC 29054 | 2011-10-24 |
| 1821123910 | Morgan's Pharmacy | Durable Medical Equipment & Medical Supplies | 309 Broad St., Gilbert, SC 29054 | 2007-02-22 |
| 1083782825 | Morgan's Pharmacy | Pharmacist | 309 Broad Street, Gilbert, SC 29054 | 2006-12-01 |
| 1619281128 | Laura Monts Spears | Speech-Language Pathologist | 520 Main St, Gilbert, SC 29054-8441 | 2010-07-27 |
| 1265838213 | Emily Whittington | Specialist/Technologist | 840 Main St, Gilbert, SC 29054-8443 | 2014-11-18 |
| 1124352208 | Byron Millwood | Specialist/Technologist | 840 Main St, Gilbert, SC 29054-8443 | 2009-09-23 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1639204738 | Morgan's Pharmacy of Gilbert, LLC | Pharmacy | 309 Broad St, Gilbert, SC 29054-8587 | 2007-02-22 |
| 1356985931 | Morgan's Pharmacy of Gilbert, LLC | Pharmacy | 309 Broad St, Gilbert, SC 29054-8587 | 2019-11-06 |
| 1609246990 | Morgan's Pharmacy | Pharmacy | 309 Broad St, Gilbert, SC 29054-8587 | 2015-09-30 |
| Find all providers in zip 29054 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316264716 | Bnr Healthcare Corp | Pharmacy | 1580 N Fiesta Blvd Ste 103, Ste 103, Gilbert, AZ 85233-1032 | 2010-04-23 |
| 1538237326 | Donald L Englerth | Pharmacy | 7584 Gilbert St, Gilbert, LA 71336 | 2006-12-01 |
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|---|---|---|---|---|
| 1942808035 | Hrm Rx | Pharmacy | 351 S. Midway Hwy Johnsonville, Johnsonville, SC 29555-2955 | 2020-10-12 |
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| 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 |
| 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.