SMITHS DRUG STORE NO 2 INC (NPI# 1558456673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558456673 |
| Entity Type | Organization |
| Organization Name | SMITHS DRUG STORE NO 2 INC |
| Practice Address |
441 East Henry Street Spartanburg SC 29302 |
| Practice Telephone | 8645828474 |
| Practice Fax Number | 8645824186 |
| Mailing Telephone | 8645828474 |
| Mailing Fax Number | 8645824186 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LELAND BRUCE MCCOY (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 8645828474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 421600 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NABP NUMBER | 4211859 | 01 |
| SC | 716000 | 05 |
| Street Address |
441 EAST HENRY STREET |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487154480 | Adele Penland Boyce | Pharmacist | 104 Emory Rd, Spartanburg, SC 29307-2905 | 2018-02-15 |
| 1790137784 | Jessica Lee Ho | Pharmacist | 215 Bent Oak Way, Spartanburg, SC 29301-1201 | 2016-07-01 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1184969867 | Thomas Allen Keith Jr. | Pharmacist | 1908 East Main Street, Spartanburg, SC 29307-2308 | 2012-12-06 |
| 1861746091 | James Richard Cantrell | Pharmacist | 150 Hawk Creek Dr, Spartanburg, SC 29301-1214 | 2012-11-09 |
| 1598015869 | Manish Rajkumar Chomal | Pharmacist | 2660 Reidville Rd Ste 8, Spartanburg, SC 29301-3512 | 2012-09-14 |
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1174873616 | Myra Turner Lawson | Pharmacist | 87 Garner Road, Spartanburg, SC 29303 | 2012-09-12 |
| 1639427438 | James Calvin Pugh Jr. | Pharmacist | 2397 Reidville Rd, Spartanburg, SC 29301-3651 | 2012-08-27 |
| 1609123439 | Payal Thadani | Pharmacist | 2401 Reidville Rd, Spartanburg, SC 29301-3654 | 2012-08-10 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
Please comment or provide details below to improve the information on SMITHS DRUG STORE NO 2 INC.
| 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.