WELVISTA (NPI# 1861796518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861796518 |
| Entity Type | Organization |
| Organization Name | WELVISTA |
| Practice Address |
2700 Middleburg Drive Suite 104 Columbia SC 29204 |
| Mailing Address |
2700 Middleburg Dr Columbia SC 29204-2416 |
| Practice Telephone | 8039339183 |
| Mailing Telephone | 8039339183 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |
| Authorized Official Name | MR. KEN TROGDON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8039339183 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 10219 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NCPDP | 4227282 | 01 |
| SC | 710219 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023527348 | Welvista | Dentist | 395 Pine St E, Varnville, SC 29944-9617 | 2017-09-29 |
| 1023200441 | Welvista | Pharmacy | 2700 Middleburg Dr Ste 108, Columbia, SC 29204-2416 | 2007-08-10 |
| 1386727188 | Welvista | Dentist | 9077 Alex Harvin Hwy, Summerton, SC 29148-9803 | 2006-10-23 |
| 1922189885 | Welvista | Dentist | 1730a Highway 301 N, Dillon, SC 29536-1950 | 2006-10-18 |
| 1033290937 | Welvista | Dentist | 3269 Allendale Fairfax Hwy, Fairfax, SC 29827-9163 | 2006-10-18 |
| 1619058591 | Welvista | Dentist | 16 Weinberg St, Manning, SC 29102-2629 | 2006-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WELVISTA, INC. | 2700 Middleburg Dr, Ste 108, Columbia, SC 29204 |
| Street Address |
2700 MIDDLEBURG DRIVE SUITE 104 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| 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 |
|---|---|---|---|---|
| 1215561527 | Caldwell Drug | Pharmacy | 8141 Us Hwy. 165, Columbia, LA 71418 | 2020-02-25 |
| 1710479035 | Kilgore Inc | Pharmacy | 1901 Corporate Pl, Columbia, MO 65202-3700 | 2018-06-01 |
| 1861931578 | Chemist LLC | Pharmacy | 908 Highway 13 S, Columbia, MS 39429-3590 | 2017-02-14 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1982099107 | Columbia Town Center Pharmacy | Pharmacy | 5550 Sterrett Pl Ste 103, Columbia, MD 21044-2625 | 2015-04-03 |
| 1417364662 | North Century Pharmacy, Inc. | Pharmacy | 3058 Campbellsville Rd, Columbia, KY 42728-9511 | 2014-07-21 |
| 1104269620 | American Specialty Pharmacy Inc | Pharmacy | 5500 Knoll North Dr Ste 140, Columbia, MD 21045-2360 | 2013-04-15 |
| 1073860367 | Panda Investment Partners LLC | Pharmacy | 301 Rice Meadow Way Ste 5, Columbia, SC 29229-8404 | 2012-08-06 |
| 1821357120 | Wegmans Food Markets, Inc. | Pharmacy | 8855 Mcgaw Rd, Columbia, MD 21045-4713 | 2012-05-08 |
| 1770849424 | Compounder, LLC | Pharmacy | 6345 Woodside Court #102, Columbia, MD 21046-3224 | 2012-04-06 |
| Find all providers in COLUMBIA | ||||
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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.