MEDI-FARE DRUG & HOME HEALTH CENTER INC (NPI# 1851389159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851389159 |
| Entity Type | Organization |
| Organization Name | MEDI-FARE DRUG & HOME HEALTH CENTER INC |
| Practice Address |
300 W Pine St Blacksburg SC 29702-1548 |
| Practice Telephone | 8648396500 |
| Practice Fax Number | 8648393513 |
| Mailing Telephone | 8648396500 |
| Mailing Fax Number | 8648393513 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2012-05-29 |
| Authorized Official Name | PAT BALOGA-STEPHENS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8648396384 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE2372 | 05 |
| Street Address |
300 W PINE ST |
| City | BLACKSBURG |
| State | SC |
| Zip Code | 29702-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477679843 | Medi Fare Drug and Home Health Center Inc | Pharmacy | 300 W Pine St, Blacksburg, SC 29702-1548 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316315054 | Jim Nasim Dmd, Pa | Dentist | 305 West Pine Street, Blacksburg, SC 29702 | 2015-09-11 |
| 1396163317 | Tammie Peterson | Licensed Practical Nurse | 402 Hardin Street, Blacksburg, SC 29702 | 2014-04-07 |
| 1861810343 | Tamera Randolph | Registered Nurse | 201 W. Ramseur Dr., Blackburg, SC 29702 | 2014-04-02 |
| 1821424045 | Healthstat On-site Clinic/milliken Allen | Preventive Medicine | 164 Milliken St, Blacksburg, SC 29702 | 2013-09-19 |
| 1942636154 | Healthstat On-site Clinic/milliken Magnolia | Preventive Medicine | 157 Milliken Rd., Blacksburg, SC 29702 | 2013-09-19 |
| 1366605214 | Leah Quirita Walden | Dentist | 2022 Cherry Road, Rock Hill, SC 29702 | 2008-07-09 |
| 1972792398 | Ron C Sisk | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702 | 2007-10-22 |
| 1952347320 | Philip Edward Brafford Jr. | Chiropractor | 1742 W Cherokee Street, Blacksburg, SC 29702 | 2006-06-22 |
| 1457828329 | Supreme Management and Associates, LLC | Home Health | 107 1/2 W Cherokee St, Blacksburg, SC 29702-1501 | 2018-10-30 |
| 1518221258 | Jamie S Earls | Massage Therapist | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2012-06-27 |
| Find all providers in zip 29702 | ||||
| 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 |
|---|---|---|---|---|
| 1659998920 | Schiffert Health Center | Pharmacy | 895 Washington Street Sw Virginia Tech Mccomas Hall, Blacksburg, VA 24061-0140 | 2020-07-02 |
| 1972968279 | New River Pharmacy LLC | Pharmacy | 301 S Main St Ste 107, Blacksburg, VA 24060-4978 | 2015-12-31 |
| 1265819205 | Karma Healthcare LLC | Pharmacy | 301 W Cherokee St Ste B, Blacksburg, SC 29702-1558 | 2015-04-29 |
| 1205255312 | Blacksburg Pharmacy LLC | Pharmacy | 1403 N Main St, Blacksburg, VA 24060-2563 | 2014-04-16 |
| 1437174133 | Kroger Limited Partnership I | Pharmacy | 1322 S Main St, Blacksburg, VA 24060-5526 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144840026 | Salubrius Pharmacy, LLC | Pharmacy | 120 Clair Dr, Powdersville, SC 29673-7771 | 2020-04-21 |
| 1073146502 | Greenville Health Corporation | Pharmacy | 115 N Sumter St Ste 220, Sumter, SC 29150-4972 | 2020-02-12 |
| 1043858996 | M Holdings LLC | Pharmacy | 808 Highway 378 Ste A, Lexington, SC 29072-8379 | 2019-12-11 |
| 1033760483 | Eau Claire Cooperative Health Center, Inc. | Pharmacy | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2019-09-26 |
| 1467002816 | Black River Pharmacy LLC | Pharmacy | 32a N Williamsburg County Hwy, Kingstree, SC 29556-2433 | 2019-09-18 |
| 1548821457 | Dipti H Patel | Pharmacy | 636 Chartwell Dr, Greer, SC 29650-4787 | 2019-06-23 |
| 1972163350 | Genesis Health Care, Inc | Pharmacy | 211 S Jones Rd Ste A, Olanta, SC 29114-9705 | 2019-06-18 |
| 1013571314 | Publix Super Markets, Inc. | Pharmacy | 730 Hopewell Drive, Charleston-berkeley, SC 29492-7102 | 2019-04-23 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 29702 |
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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.