SWEETGRASS PHARMACY CAROLINA PARK, LLC (NPI# 1720689276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720689276 |
| Entity Type | Organization |
| Organization Name | SWEETGRASS PHARMACY CAROLINA PARK, LLC |
| Practice Address |
3485 Park Avenue Blvd Mount Pleasant SC 29466 |
| Mailing Address |
1952 Long Grove Dr Ste 1 Mt Pleasant SC 29464-7579 |
| Practice Telephone | 8436544013 |
| Practice Fax Number | 8436544014 |
| Mailing Telephone | 8436544013 |
| Mailing Fax Number | 8436544014 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | DR. CYNTHIA FELDMAN (OWNER) |
| Authorized Official Telephone | 8436544013 |
| Authorized Official Credential | PHARMD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
3485 PARK AVENUE BLVD |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| 1023401239 | Avani Patel | Specialist/Technologist, Other | 1300 Park West Blvd., Madison At Park West Apt 107, Mount Pleasant, SC 29466 | 2015-03-12 |
| Find all providers in zip 29466 | ||||
| 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 |
|---|---|---|---|---|
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1285027391 | Ron Group | Pharmacy | 570 Long Point Rd Ste 170, Mount Pleasant, SC 29464-7931 | 2015-03-13 |
| 1285912394 | Roundys Supermarkets Inc | Pharmacy | 2820 S Green Bay Rd, Mount Pleasant, WI 53406-4950 | 2011-07-25 |
| 1396981239 | Moose Drug Company | Pharmacy | 8374 West Franklin Street, Mount Pleasant, NC 28124-0067 | 2008-12-24 |
| 1922257609 | Saginaw Chippewa Indian Tribe | Pharmacy | 2410 S Leaton Rd, Ste 8, Mount Pleasant, MI 48858-8639 | 2008-09-17 |
| 1548277585 | Walgreen Co | Pharmacy | 6125 Durand Ave, Mount Pleasant, WI 53406-4913 | 2006-08-02 |
| 1114442860 | Walgreen Co | Pharmacy | 1799 N Highway 17, Mount Pleasant, SC 29464 | 2017-08-03 |
| 1518321926 | Raven Holdings, LLC | Pharmacy | 953 Houston Northcutt Blvd, Mount Pleasant, SC 29464-3468 | 2016-04-12 |
| 1639562945 | Tidewater Pharmacy & Medical Supply LLC | Pharmacy | 421 Johnnie Dodds Blvd, Ste 100, Mount Pleasant, SC 29464-2689 | 2015-03-11 |
| 1619375839 | Walgreen Co | Pharmacy | 389 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-2932 | 2014-12-22 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29466 |
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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.