VA CMOP (NPI# 1104076694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104076694 |
| Entity Type | Organization |
| Organization Name | VA CMOP |
| Practice Address |
3725 Rivers Ave Ste 2 North Charleston SC 29405-7072 |
| Practice Telephone | 8437458649 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | DENA WOLFORTH (PROGRAM MANAGER) |
| Authorized Official Telephone | 8437458636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302R00000X | Health Maintenance Organization | Managed Care Organizations | ||
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730344318 | Va Cmop | Clinic/Center | 2962 S Longhorn Dr, Lancaster, TX 75134-2118 | 2008-07-23 |
| Street Address |
3725 RIVERS AVE STE 2 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405-7072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588182307 | Jennifer Partelow | Pharmacist | 3725 Rivers Ave Ste 2, North Charleston, SC 29405-7072 | 2017-08-31 |
| 1811160625 | Gina Roman Creech | Pharmacist | 3725 Rivers Ave Ste 2, North Charleston, SC 29405-7072 | 2008-04-12 |
| 1376714352 | Lisa Floyd Harle | Pharmacist | 3725 Rivers Ave Ste 2, North Charleston, SC 29405-7072 | 2008-03-18 |
| 1013102235 | Gregory R Brownlee | Pharmacist | 3725 Rivers Ave Ste 2, North Charleston, SC 29405-7072 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| 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 |
|---|---|---|---|---|
| 1902374598 | Manifest Pharmacy, LLC | Pharmacy | 1018 S Batesville Rd Bldg 4-a, Greer, SC 29650-4586 | 2018-11-13 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on VA CMOP.
| 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.