GUARDIAN PHARMACY OF SC ONE LLC (NPI# 1982085767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982085767 |
Entity Type | Organization |
Organization Name | GUARDIAN PHARMACY OF SC ONE LLC |
Other Organization Name | PREFERRED CARE PHARMACEUTICAL SERVICES |
Practice Address |
4794a Highway 162 Hollywood SC 29449-5740 |
Mailing Address |
Po Box 11407 Dept # 2487 Birmingham AL 35246-2430 |
Practice Telephone | 8437696522 |
Practice Fax Number | 8437695728 |
Mailing Telephone | 4048100089 |
Mailing Fax Number | 4048100094 |
Enumeration Date | 2015-06-17 |
Last Update Date | 2018-07-19 |
Authorized Official Name | DAVID WHITLOCK (PRESIDENT) |
Authorized Official Telephone | 8435458800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
16042 | SC | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 716042 | 05 | |
ME | 1982085767 | 05 | |
PK | 2152908 | 01 |
Other Name | Type Code |
---|---|
Preferred Care Pharmaceutical Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982763603 | Guardian Pharmacy of Sc One LLC | Pharmacy | 810 Elizabeth St, Georgetown, SC 29440-3964 | 2006-12-08 |
Street Address |
4794A HIGHWAY 162 |
City | HOLLYWOOD |
State | SC |
Zip Code | 29449-5740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164898151 | Melissa Macher | Dietitian, Registered | 5033 Wapiti Way, Hollywood, SC 29449 | 2015-08-13 |
1134453517 | Piggly Wiggly Hollywood, Inc. | Durable Medical Equipment & Medical Supplies | Highway 162, Hollywood, SC 29449 | 2009-10-01 |
1316004633 | Preferred Care Pharmaceutical Services Inc | Pharmacy | 4794 A Hwy 162, Hollywood, SC 29449 | 2007-01-03 |
1831157726 | Preferred Care Pharmaceutical Services Inc. | Pharmacy | 4794-a Highway 162, Hollywood, SC 29449 | 2006-05-02 |
1740402130 | St Paul's Medical Group, Inc | Clinic/Center | 7610 Highway 164, Hollywood, SC 29449 | 2007-05-03 |
1316382104 | Charlotte Davis | Registered Nurse | 8548 Willtown Rd, Yonges Island, SC 29449-5515 | 2013-05-07 |
1477004133 | Fetter Health Care Network Inc | Clinic/Center | 8548 Willtown Rd, Hollywood, SC 29449-5515 | 2016-10-18 |
1891342432 | Kaylee Mcdaniel | Occupational Therapy Assistant | 4879 Coach Rd, Hollywood, SC 29449-5521 | 2019-08-19 |
1689019465 | Tamela S Kizer | Registered Nurse | 7184 Highway 162, Hollywood, SC 29449-5603 | 2013-05-07 |
1922327832 | Andrea Hamilton | Specialist | 7986 Highway 162, Hollywood, SC 29449-5607 | 2010-05-18 |
Find all providers in zip 29449 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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 |
---|---|---|---|---|
1063059673 | Mdp Products and Services | Pharmacy | 6602 Stirling Rd, Hollywood, FL 33024-1954 | 2019-12-02 |
1417265265 | Ez Care Pharmacy Inc | Pharmacy | 3353 Sheridan St Ste D, Hollywood, FL 33021-3632 | 2010-09-15 |
1639223076 | Wellscripts LLC | Pharmacy | 2024 Hollywood Blvd, Hollywood, FL 33020-4525 | 2007-01-23 |
1316004633 | Preferred Care Pharmaceutical Services Inc | Pharmacy | 4794 A Hwy 162, Hollywood, SC 29449 | 2007-01-03 |
1932156544 | Rxperts Pharmacy Services, Inc. | Pharmacy | 4032 N 29th Ave, Hollywood, FL 33020-1012 | 2006-05-28 |
1831157726 | Preferred Care Pharmaceutical Services Inc. | Pharmacy | 4794-a Highway 162, Hollywood, SC 29449 | 2006-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942808035 | Hrm Rx | Pharmacy | 351 S. Midway Hwy Johnsonville, Johnsonville, SC 29555-2955 | 2020-10-12 |
1780290429 | Blue Ridge Pharmacy Inc | Pharmacy | 161 Pontiac Business Center Dr Ste 1192, Elgin, SC 29045-7123 | 2020-09-18 |
1134731649 | Select Care Pharmacy, LLC. | Pharmacy | 480 Jessen Ln Ste A, Charleston, SC 29492-7915 | 2020-08-18 |
1700426723 | Sweetgrass Pharmacy & Compounding LLC | Pharmacy | 1952 Long Grove Dr Ste 1, Mt Pleasant, SC 29464-7579 | 2020-01-07 |
1780122028 | Hospiconic Southeastern LLC | Pharmacy | 7275 Cross County Rd, Suite E, North Charleston, SC 29418-3318 | 2017-02-07 |
1811248412 | Genoa Healthcare, LLC | Pharmacy | 4 Harbison Way, Columbia, SC 29212-3402 | 2012-09-24 |
1093987091 | Clarendon Memorial Hospital | Pharmacy | 50 E Hospital St Ste 1, Manning, SC 29102-3149 | 2008-03-31 |
1891830899 | Generx Pharmacy | Pharmacy | 429 E Boundary St, Chapin, SC 29036-8388 | 2007-02-20 |
1245390707 | Longs Closed Door Pharmacy Inc | Pharmacy | 111 Executive Center Dr Ste 222, Columbia, SC 29210-8425 | 2006-12-12 |
1750456331 | Longs Drugs of Saluda South Longs Drugs | Pharmacy | 307 W Butler Ave, Saluda, SC 29138-1309 | 2006-11-21 |
Find all providers with the same taxonomy |
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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.