PEE DEE DIABETIC CONSULTANTS,LLC (NPI# 1912156167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912156167 |
| Entity Type | Organization |
| Organization Name | PEE DEE DIABETIC CONSULTANTS,LLC |
| Practice Address |
269 N Ron Mcnair Blvd Lake City SC 29560-2437 |
| Mailing Address |
212 Academy St Lake City SC 29560-2102 |
| Practice Telephone | 8433943121 |
| Practice Fax Number | 8433942551 |
| Mailing Telephone | 8433943121 |
| Mailing Fax Number | 8433942551 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | MS. JANE DIXON PLAYER (OWNER) |
| Authorized Official Telephone | 8433943121 |
| Authorized Official Credential | RPH/CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5201 | SC | Pharmacy Service Providers |
| Street Address |
269 N RON MCNAIR BLVD |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366509440 | Piggly Wiggly Lake City, Inc. | Durable Medical Equipment & Medical Supplies | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2007-01-02 |
| 1922356963 | Piggly Wiggly Lake City Inc | Pharmacy | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2012-08-23 |
| 1588853519 | Piggly Wiggly Lake City, Inc. | Durable Medical Equipment & Medical Supplies | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2007-10-16 |
| 1275729444 | Piggly Wiggly Lake City Inc | Durable Medical Equipment & Medical Supplies | 269 N Ron Mcnair Blvd, Lake City, SC 29560-2437 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910943 | Colleen Courey | Pharmacist | 1465 W Us Highway 90 Ste 110, Lake City, FL 32055-6154 | 2020-10-21 |
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1932626009 | Trinity H Williams | Pharmacist | 340 Nw Commerce Dr Fl 32055, Lake City, FL 32055-4709 | 2017-08-29 |
| 1215476601 | Emily Wilson | Pharmacist | 347 Sw Main Blvd Ste 102, Lake City, FL 32025-5262 | 2017-02-17 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1467850974 | Michael Eric Johnson | Pharmacist | 161 Sw Stonegate Ter, Suite 105, Lake City, FL 32024-3452 | 2014-12-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| Find all providers in LAKE CITY | ||||
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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.