SHERTECH PHARMACY SPARTANBURG (NPI# 1245591668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245591668 |
| Entity Type | Organization |
| Organization Name | SHERTECH PHARMACY SPARTANBURG |
| Practice Address |
1360 Drayton Rd Spartanburg SC 29307-5104 |
| Practice Telephone | 8645853850 |
| Practice Fax Number | 8645853760 |
| Mailing Telephone | 8645853850 |
| Mailing Fax Number | 8645853760 |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |
| Authorized Official Name | MR. RUSSELL E PRESCOTT III (PHARMACY MANAGER) |
| Authorized Official Telephone | 8645853850 |
| Authorized Official Credential | BSPHARM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3340 | SC | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
3340 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NABP | 4220644 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHERTECH PHARMACY SPARTANBURG, LLC | 1360 Drayton Rd, Spartanburg, SC 29307-5104 |
| Street Address |
1360 DRAYTON RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29307-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
| 1194247528 | Tawnia Lee Prince | Occupational Therapy Assistant | 110 Summit Knoll Drive, Spartanburg, SC 29307 | 2017-07-07 |
| 1730633553 | Laura K Taylor | Chiropractor | 1802 Drayton Road, Suite 309, Spartanburg, SC 29307 | 2016-08-10 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1316312010 | Joy Rogers | Speech-Language Pathologist | 175 Burdette St, Spartanburg, SC 29307 | 2015-12-07 |
| 1376923169 | Olivia Conrad | Speech-Language Pathologist | 220 Sloans Grove Rd, Spartanburg, SC 29307 | 2015-06-05 |
| 1457755118 | Optimal Radiology Partners of Virginia, Pllc | Radiology | 75 Skylyn Drive, Spartanburg, SC 29307 | 2014-10-09 |
| 1295033272 | Sean Quinn | Pharmacist | 790 East Main Street, Spartanburg, SC 29307 | 2011-03-01 |
| 1417250887 | James Edward Bradof | Internal Medicine | 212 Cypress Creek Drive, Spartanburg, SC 29307 | 2010-12-07 |
| 1528388030 | Tanya Tocharoen Tang | Internal Medicine | 126 Dillon Dr., Spartanburg, SC 29307 | 2010-06-07 |
| Find all providers in zip 29307 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1740890433 | Polaris Jack, Inc. | Pharmacy | 3072 Dick Pond Rd Unit 2, Myrtle Beach, SC 29588-6954 | 2020-08-06 |
| 1780147504 | Cherry Grove Compounding, LLC | Pharmacy | 1124-2 Sea Mountain Highway, North Myrtle Beach, SC 29582 | 2019-04-09 |
| 1982071296 | Benzer Sc 1 LLC | Pharmacy | 1028 Edgewater Pkwy, Suite 103, Indian Land, SC 29707 | 2015-08-24 |
| 1669889374 | Sweetgrass Pharmacy & Compounding LLC | Pharmacy | 1952 Long Grove Dr Ste 5, Mt Pleasant, SC 29464-7579 | 2014-07-14 |
| 1518395656 | Compounding Solutions Pharmacy LLC | Pharmacy | 115 Pelham Rd Ste 12, Greenville, SC 29615-2155 | 2013-10-29 |
| 1447699871 | Greenhill Pharmacy Inc | Pharmacy | 2531 Woodruff Rd Ste 107, Simpsonville, SC 29681-5465 | 2013-06-19 |
| 1821337221 | Pawleys Island Compounding Pharmacy LLC | Pharmacy | 9710 Ocean Hwy, Unit 2, Pawleys Island, SC 29585-7585 | 2013-02-05 |
| 1093023020 | Custom Prescription Compounders LLC | Pharmacy | 194 Crepe Myrtle Ct, Aiken, SC 29803-7543 | 2010-09-24 |
| 1033423348 | Specialty Pharmacy Myrtle Beach LLC | Pharmacy | 5900 N Kings Hwy Ste C, Myrtle Beach, SC 29577-2326 | 2010-07-28 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29307 |
Please comment or provide details below to improve the information on SHERTECH PHARMACY SPARTANBURG.
| 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.