ZIVITSKI HEALTH GROUP LLC (NPI# 1740788066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740788066 |
| Entity Type | Organization |
| Organization Name | ZIVITSKI HEALTH GROUP LLC |
| Other Organization Name | GRAY COURT PHARMACY |
| Practice Address |
345 W Main Street Gray Court SC 29645 |
| Mailing Address |
Po Box 96 Gray Court SC 29645-0096 |
| Practice Telephone | 8648763837 |
| Practice Fax Number | 8648761137 |
| Mailing Telephone | 8648763837 |
| Mailing Fax Number | 8648761137 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | RONALD ZIVITSKI (OWNER) |
| Authorized Official Telephone | 8648763837 |
| 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 |
17663 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 711725 | 05 | |
| PK | 2177354 | 01 |
| Other Name | Type Code |
|---|---|
| Gray Court Pharmacy | Doing Business As Name - Organization |
| Street Address |
345 W MAIN STREET |
| City | GRAY COURT |
| State | SC |
| Zip Code | 29645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053756072 | Joan Williams Greene | Speech-Language Pathologist | 9210 Hwy 14, Gray Court, SC 29645 | 2013-05-03 |
| 1215064571 | Gray Court Pharmacy | Pharmacy | 345 West Main St, Gray Court, SC 29645 | 2007-02-27 |
| 1871192674 | Mlc Homecare LLC | In Home Supportive Care | 363 W Main St, Gray Court, SC 29645 | 2020-10-22 |
| 1346622883 | Nathanael Ricardo Benitez | Family Medicine | 9100 Highway 14, Gray Court, SC 29645 | 2015-06-21 |
| 1518498336 | Spartanburg Medical Center | Family Medicine | 2846 N Old Laurens Rd, Gray Court, SC 29645-3157 | 2017-03-23 |
| 1356745277 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 9032 Highway 14, Gray Court, SC 29645-4151 | 2014-10-21 |
| 1558305029 | Christopher Todd Nelson | Family Medicine | 9100 Highway 14, Gray Court, SC 29645-4152 | 2006-06-15 |
| 1396306478 | Brittany Edge Thomas | Nurse Practitioner | 9100 Highway 14, Gray Court, SC 29645-4152 | 2019-06-27 |
| 1700239787 | Prisma Health-upstate | Clinic/Center | 9100 Highway 14, Gray Court, SC 29645-4152 | 2016-07-14 |
| 1427440809 | Greenville Health System | Clinic/Center | 9100 Highway 14, Gray Court, SC 29645-4152 | 2015-02-23 |
| Find all providers in zip 29645 | ||||
| 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 | ||||
| City | GRAY COURT |
| Zip Code | 29645 |
Please comment or provide details below to improve the information on ZIVITSKI HEALTH GROUP 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.