CARESOUTH CAROLINA INC (NPI# 1336506427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336506427 |
| Entity Type | Organization |
| Organization Name | CARESOUTH CAROLINA INC |
| Other Organization Name | CSC COMMUNITY PHARMACY-LATTA |
| Practice Address |
122 Latimer St Latta SC 29565-1828 |
| Practice Telephone | 8436276261 |
| Practice Fax Number | 8436276265 |
| Mailing Telephone | 8436276261 |
| Mailing Fax Number | 8436276265 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ANN LEWIS (PRESIDENT) |
| Authorized Official Telephone | 8438570111 |
| 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 |
16297 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2157481 | 01 | |
| SC | 716297 | 05 |
| Other Name | Type Code |
|---|---|
| CSC Community Pharmacy-Latta | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568859130 | Caresouth Carolina Inc | Clinic/Center | 1076 Marlboro Way Ste 1, Bennettsville, SC 29512-2495 | 2015-04-22 |
| 1174833511 | Caresouth Carolina Inc | Dentist | 737 S Main Street, Society Hill, SC 29593 | 2010-10-19 |
| 1790327120 | Caresouth Carolina Inc | Nurse Practitioner | 100 Matheson St, Bennettsville, SC 29512-4034 | 2019-10-17 |
| 1770143281 | Caresouth Carolina Inc | Pharmacy | 3080 Highway 15-401 E, Mc Coll, SC 29570-6128 | 2019-06-17 |
| 1487142956 | Caresouth Carolina Inc | Pharmacy | 743 S Main St, Society Hill, SC 29593-8972 | 2018-04-30 |
| 1730614587 | Caresouth Carolina Inc | Pharmacy | 715 S Doctors Dr, Cheraw, SC 29520-7113 | 2017-04-28 |
| 1972980621 | Caresouth Carolina Inc | Clinic/Center | 122 Latimer St, Latta, SC 29565-1828 | 2015-05-01 |
| 1639458672 | Caresouth Carolina Inc | Pediatrics | 210 W Main St, Bennettsville, SC 29512-3122 | 2011-08-09 |
| 1275812216 | Caresouth Carolina Inc | Clinic/Center | 106 Hospital Sq, Bishopville, SC 29010-7081 | 2011-08-09 |
| Street Address |
122 LATIMER ST |
| City | LATTA |
| State | SC |
| Zip Code | 29565-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487766549 | Carolyn Whitfield Fulmore | Counselor | 122 Latimer St, Latta, SC 29565-1828 | 2006-08-31 |
| 1306378856 | Kristopher Olen Lane | Nurse Practitioner | 122 Latimer St, Latta, SC 29565-1828 | 2017-04-03 |
| 1972980621 | Caresouth Carolina Inc | Clinic/Center | 122 Latimer St, Latta, SC 29565-1828 | 2015-05-01 |
| 1386983294 | Susan T Brown | Registered Nurse | 122 Latimer St, Latta, SC 29565-1828 | 2013-02-13 |
| 1841525631 | James Bernard Fleming | Family Medicine | 122 Latimer St, Latta, SC 29565-1828 | 2009-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409901 | Archie Brown | Nurse Practitioner | 122 Latimer St., Latta, SC 29565 | 2017-03-28 |
| 1841383551 | Latta Rescue Squad, Inc. | Ambulance | 107 West Bambergg Street, Latta, SC 29565 | 2006-10-02 |
| 1023021227 | Dillon County School District Three | Local Education Agency (LEA) | 205 King St, Latta, SC 29565 | 2006-08-15 |
| 1952684433 | Cox Speech-language Pathology, Inc. | Speech-Language Pathologist | 108 N Mauldin St, Latta, SC 29565-1319 | 2011-09-21 |
| 1215347968 | Med Atlantic | Non-emergency Medical Transport (VAN) | 108 N Mauldin St, Latta, SC 29565-1319 | 2014-05-03 |
| 1598004475 | Sandra Jones | Psychologist | 205 King St, Latta, SC 29565-1401 | 2013-02-12 |
| 1225377336 | Denise Marie Gallant | Psychologist | 205 King St, Latta, SC 29565-1401 | 2013-02-08 |
| 1467791335 | Anita Graves Mace | Registered Nurse | 602 N Richardson St, Latta, SC 29565-1416 | 2013-02-12 |
| 1871579557 | Raeford Lee Clanton | Dentist | 203 S Marion St, Latta, SC 29565-1522 | 2005-12-15 |
| 1992032486 | Modern Legacy, Inc. | Dentist | 203 S Marion St, Latta, SC 29565-1522 | 2009-11-04 |
| Find all providers in zip 29565 | ||||
| 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 |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1053918458 | Johns Island Pharmacy LLC | Pharmacy | 3133 Maybank Hwy, Johns Island, SC 29455-4838 | 2020-10-08 |
| 1821695735 | Msm Rx LLC | Pharmacy | 6323b N Main St, Columbia, SC 29203-4733 | 2020-10-04 |
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1841801669 | Christmas Pharmacy LLC | Pharmacy | 1229 Alice Dr # B, Sumter, SC 29150-1970 | 2020-08-14 |
| 1639796022 | Wall Drugs of Pamplico, Inc. | Pharmacy | 616 S. Walnut Street, Pamplico, SC 29583 | 2020-07-01 |
| 1851913974 | Ebenezer Health Investors Inc | Pharmacy | 3217 Devine St, Columbia, SC 29205-1847 | 2020-05-12 |
| 1457971541 | Nephron Pharmacy LLC | Pharmacy | 4500 12th Street Ext Ste B, West Columbia, SC 29172-3025 | 2020-04-20 |
| 1770112849 | Fountain Inn Rx LLC | Pharmacy | 106 S Weston St, Fountain Inn, SC 29644-1940 | 2020-04-02 |
| 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.