SUP - RX PHARMACY #92 (NPI# 1184961641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184961641 |
| Entity Type | Organization |
| Organization Name | SUP - RX PHARMACY #92 |
| Other Organization Name | SUPRX PHARMACY # 92 |
| Practice Address |
1945 W Palmetto St Florence SC 29501-3919 |
| Mailing Address |
Po Box 3238 1945 West Palmetto St Suite 32 Florence SC 29501-3919 |
| Practice Telephone | 8436739107 |
| Practice Fax Number | 8436739109 |
| Mailing Telephone | 8436739107 |
| Mailing Fax Number | 8436739109 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | MR. ROBERT BRYAN MOODY (PIC) |
| Authorized Official Telephone | 8436739107 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Suprx Pharmacy # 92 | Doing Business As Name - Organization |
| Street Address |
1945 W PALMETTO ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285902635 | Gary Desmond Beamon | Optometrist | 1945 W Palmetto St, Florence, SC 29501-3919 | 2011-12-13 |
| 1902357791 | Boston Perkins | Optometrist | 1945 W Palmetto St, Suite 111, Florence, SC 29501-3919 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1144747700 | St Florian Pharmacy Inc | Pharmacy | 4395 County Road 47, Florence, AL 35630-8998 | 2017-08-24 |
| 1952837619 | Advantage Pharmacy and Wellness LLC | Pharmacy | 506 W Palmetto St, Florence, SC 29501-4428 | 2017-05-02 |
| 1255872107 | Shri Aarna Inc | Pharmacy | 817 S Cashua Dr Ste C, Florence, SC 29501-6398 | 2017-03-12 |
| 1285181891 | The Pharmacy | Pharmacy | 2500 Hoffmeyer Rd, Florence, SC 29501-7407 | 2016-09-01 |
| 1831523463 | Gerard Pierre | Pharmacy | 503 W Palmetto St, Florence, SC 29501-4427 | 2013-08-30 |
| 1154691004 | Freds Stores of Tennessee Inc | Pharmacy | 2932 Hwy 49 S., Florence, MS 39073 | 2012-01-10 |
| 1457654907 | Hibbett Patient Care | Pharmacy | 220 W Tennessee St Ste 1, Florence, AL 35630-5438 | 2010-12-06 |
| 1871775841 | Mcleod Regional Medical Center of The Pee Dee, Inc | Pharmacy | 501 E Cheves St Ste D, Florence, SC 29506 | 2007-12-03 |
| 1982885026 | Kj Pharmacy Inc | Pharmacy | 2300 Pamplico Hwy, Florence, SC 29505-6834 | 2007-11-16 |
| Find all providers in FLORENCE | ||||
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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.