SMOKY RIDGE MEDICAL SUPPLY, LLC (NPI# 1467849059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467849059 |
| Entity Type | Organization |
| Organization Name | SMOKY RIDGE MEDICAL SUPPLY, LLC |
| Practice Address |
1195 Saint Matthews Rd Num 211 Orangeburg SC 29115-3417 |
| Practice Telephone | 9127774721 |
| Mailing Telephone | 9127774721 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | TANNER DAVIS (OWNER) |
| Authorized Official Telephone | 9127774721 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1195 SAINT MATTHEWS RD NUM 211 |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245840545 | Phrygreen Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 60 Dutch Hill Rd # Gl-2, Orangeburg, NY 10962-1723 | 2020-08-03 |
| 1477957397 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 332 Stonewall Jackson Blvd, Orangeburg, SC 29115-7291 | 2014-10-21 |
| 1750713038 | The Regional Medical Center of Orangeburg and Calhoun Counties | Durable Medical Equipment & Medical Supplies | 1175 Cook Rd Ste 145, Orangeburg, SC 29118-8235 | 2013-08-08 |
| 1073863031 | Reyland Medical, LLC | Durable Medical Equipment & Medical Supplies | 110 Rodriguez Rd, Orangeburg, SC 29118-2548 | 2012-09-17 |
| 1043534787 | Peacock Medical Equipment & Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1499 John C Calhoun Dr, Orangeburg, SC 29115-7280 | 2010-03-24 |
| 1861646671 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1262 Ridgewood Drive, Orangeburg, SC 29118 | 2008-11-06 |
| 1053599530 | Jim M Johnson Jr. | Durable Medical Equipment & Medical Supplies | 1464 Carolina Avenue, Orangeburg, SC 29115-1464 | 2008-02-06 |
| 1568594661 | Advantage Health and Wellness | Durable Medical Equipment & Medical Supplies | 242 Whittaker Pkwy, Orangeburg, SC 29115-5664 | 2007-03-12 |
| 1679645303 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1707 Village Park Dr, Orangeburg, SC 29118-2401 | 2006-11-15 |
| 1437257078 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1 Orangetown Shopping Ctr, Orangeburg, NY 10962-2143 | 2006-09-20 |
| Find all providers in ORANGEBURG | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
Please comment or provide details below to improve the information on SMOKY RIDGE MEDICAL SUPPLY, LLC.
| 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.