DEGC ENTERPRISES (U.S.), INC. (NPI# 1750473252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750473252 |
| Entity Type | Organization |
| Organization Name | DEGC ENTERPRISES (U.S.), INC. |
| Other Organization Name | CCS MEDICAL |
| Practice Address |
3601 Thirlane Road Nw Suite 4 Roanoke VA 24019-3080 |
| Mailing Address |
1505 Lbj Fwy Ste 550 Farmers Branch TX 75234-6069 |
| Practice Telephone | 8003113679 |
| Practice Fax Number | 5403623099 |
| Mailing Telephone | 9726282100 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-05-23 |
| Authorized Official Name | MICHAEL CAPONE (SECRETARY) |
| Authorized Official Telephone | 9726282100 |
| Is Organization Subpart | Y |
| Parent Organization Name | CCS MEDICAL HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 020102988 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010115396 | 05 | |
| VA | 010115400 | 05 |
| Other Name | Type Code |
|---|---|
| CCS Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851521678 | Degc Enterprises (u.s.), Inc. | Durable Medical Equipment & Medical Supplies | 4108 Park Road, Suite 320, Charlotte, NC 28209-4207 | 2009-07-15 |
| 1710079223 | Degc Enterprises (u.s.), Inc. | Durable Medical Equipment & Medical Supplies | 5464 E La Palma Ave, Unit B, Anaheim, CA 92807-2023 | 2006-09-29 |
| 1295827780 | Degc Enterprises (u.s.), Inc. | Pharmacy | 14255 49th Street North, Suite 301, Clearwater, FL 33762-2813 | 2006-09-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DEGC ENTERPRISES (U.S.), INC. | 1505 Lbj Freeway Ste 550, Farmers Branch, TX 75234 |
| Vermont Business Registrations | DEGC ENTERPRISES (U.S.), INC. | 14255 49th St N Ste 301, Clearwater, FL 33762 |
| Colorado Business Entities | DEGC Enterprises (U.S.), Inc. | 1505 Lbj Freeway, Suite 550, Farmers Branch, TX 75234 |
| Washington State Corporations | DEGC ENTERPRISES (U.S.), INC. | 1505 Lbj Fwy Ste 550, Farmers Brnch, TX 75234-6446 |
| New York State Corporations | DEGC ENTERPRISES (U.S.), INC. | 1505 Lbj Fwy, Ste 600, Farmers Branch, Texas 75234 |
| Iowa Business Entities | DEGC ENTERPRISES (U.S.), INC. | 1505 Lbj Freeway Ste 550, Farmers Branch, TX 75234 |
| Street Address |
3601 THIRLANE ROAD NW SUITE 4 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-3080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619253846 | Chs Inc | Pharmacy | 3 Riverside Circle Ground Floor, Roanoke, VA 24016 | 2011-11-02 |
| 1134260516 | Shawsville Pharmacy Inc | Pharmacy | 2201 Crystal Spring Ave Sw, Roanoke, VA 24014-2416 | 2007-02-09 |
| 1992802730 | Sanco Drug Inc | Pharmacy | 1270 Riverland Rd Se, Roanoke, VA 24014-3508 | 2006-09-20 |
| 1497867303 | Bear Creek Drug Inc | Pharmacy | 3328 Brambleton Ave, Roanoke, VA 24018-6523 | 2006-08-31 |
| 1124130034 | Mountain Rx LLC | Pharmacy | 3324 Williamson Rd Nw, Roanoke, VA 24012-4058 | 2006-08-31 |
| 1194730705 | Lineville Clinic Pharmacy LLC | Pharmacy | 3705 Highway 431 Ste B, Roanoke, AL 36274-1430 | 2006-07-30 |
| 1447275169 | Kroger Limited Partnership I | Pharmacy | 4488 Electric Rd, Roanoke, VA 24018-0722 | 2006-07-13 |
| 1356375125 | Kroger Limited Partnership I | Pharmacy | 5050 Rutgers St Nw, Roanoke, VA 24012-1326 | 2006-07-10 |
| 1063446847 | Kroger Limited Partnership I | Pharmacy | 614 Brandon Ave Sw, Roanoke, VA 24015-3212 | 2006-07-10 |
| 1972537751 | Kroger Limited Partnership I | Pharmacy | 7223 Williamson Rd, Roanoke, VA 24019-4234 | 2006-07-10 |
| Find all providers in ROANOKE | ||||
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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.