LONGS DRUGSTORES OF SC INC (NPI# 1275030645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275030645 |
| Entity Type | Organization |
| Organization Name | LONGS DRUGSTORES OF SC INC |
| Other Organization Name | AVITA PHARMACY |
| Practice Address |
455 Lakeshore Pkwy Rock Hill SC 29730-4205 |
| Mailing Address |
10604 Coursey Blvd Baton Rouge LA 70816 |
| Practice Telephone | 8039923263 |
| Practice Fax Number | 8446413263 |
| Mailing Telephone | 2252361541 |
| Mailing Fax Number | 2256632158 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-06-27 |
| Authorized Official Name | ASHLEY ELLIS (CORPORATE COUNSEL/AO) |
| Authorized Official Telephone | 7046417967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
17812 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 717812 | 05 | |
| PK | 2177212 | 01 |
| Other Name | Type Code |
|---|---|
| Avita Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013428176 | Longs Drugstores of Sc Inc | Pharmacy | 1481 Tobias Gadson Blvd Ste 2d, Charleston, SC 29407-4794 | 2017-10-17 |
| 1124112479 | Longs Drugstores of Sc Inc | Pharmacy | 8810 Farrow Rd, Ste C, Columbia, SC 29203-8802 | 2006-10-03 |
| 1538252671 | Longs Drugstores of Sc Inc | Pharmacy | 630 Kilbourne Rd, Columbia, SC 29205-2827 | 2006-10-02 |
| 1316030190 | Longs Drugstores of Sc Inc | Pharmacy | 2801 Millwood Ave, Columbia, SC 29205-1257 | 2006-10-02 |
| 1053403964 | Longs Drugstores of Sc Inc | Pharmacy | 115 Blarney Dr Ste 105, Suite 105, Columbia, SC 29223-6291 | 2006-09-28 |
| Street Address |
455 LAKESHORE PKWY |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29730-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405316 | James C Charles | Internal Medicine | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2005-05-31 |
| 1295348811 | Jamie Cosby | Family Medicine | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2020-08-24 |
| 1700372323 | Shaylo Patricia Reyes | Physician Assistant | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2018-07-06 |
| 1932690989 | Affinity Health Center | Dentist | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2018-05-25 |
| 1245684026 | Brittany Nichole Watson | Family Medicine | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2016-04-19 |
| 1861886210 | Rhonnie Song | Family Medicine | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2015-03-24 |
| 1225378672 | Hilary Erin Harris | Nurse Practitioner | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2013-02-21 |
| 1598994170 | Darlene K Christmon-washington | Registered Nurse | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2009-07-05 |
| 1285807651 | Elise Jorgensen Laney | Counselor | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2008-04-08 |
| 1396881066 | Affinity Health Center | Clinic/Center | 455 Lakeshore Pkwy, Rock Hill, SC 29730-4205 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
| 1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
| 1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
| 1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
| 1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
| 1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
| 1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
| 1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
| 1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
| 1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
| Find all providers in zip 29730 | ||||
| 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 |
|---|---|---|---|---|
| 1821307356 | Rhsc LLC | Pharmacy | 725 Cherry Rd Ste 103, Rock Hill, SC 29732-3143 | 2010-10-01 |
| 1346571460 | Palmetto Family Pharmacy | Pharmacy | 1030 Oakland Ave Ste 101, Rock Hill, SC 29732-3074 | 2010-01-29 |
| 1912198623 | Community Medicine Foundation | Pharmacy | 1131 Saluda Street, Rock Hill, SC 29730 | 2007-08-07 |
| 1467669077 | Medical Solutions, Inc. | Pharmacy | 1030 Oakland Ave, Rock Hill, SC 29732-3325 | 2007-05-16 |
| 1235289471 | Jadd Pharmacy Corp | Pharmacy | 253 Rock Hill Drive, Rock Hill, NY 12775 | 2007-01-11 |
| 1235240706 | Harris Teeter, LLC | Pharmacy | 2750 Celanese Rd, Rock Hill, SC 29732-8440 | 2006-08-31 |
| 1417387770 | Horaces Pharmacy LLC | Pharmacy | 1525 Celanese Rd Ste 107, Rock Hill, SC 29732-1723 | 2013-11-22 |
| 1528376720 | 808 Pharmacy and Supply Company | Pharmacy | 1030 Edwards St, Suite 110, Rock Hill, SC 29732-2549 | 2010-09-22 |
| 1376876029 | Rock Hill Pharmacy | Pharmacy | 1420 Ebenezer Rd, Suite 105, Rock Hill, SC 29732-2743 | 2009-09-14 |
| 1972722650 | Piedmont Retail Pharmacy | Pharmacy | 222 S Herlong Ave, Rock Hill, SC 29732-1158 | 2007-04-24 |
| Find all providers in ROCK HILL | ||||
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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.