Careteam Plus, Inc.
Organization Active NPI Specialty Pharmacy · Conway, SC
NPI 1033738133 · NPPES record last updated Apr 9, 2020
Key facts
- NPI
- 1033738133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialty Pharmacy 3336S0011X
- Legal business name
- CARETEAM PLUS, INC.
- Practice address
- 100 Professional Park Dr
Conway, SC 29526-9260 - Phone
- (843) 254-0005
- NPI assigned
- Apr 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Johanna L Haynes
- Title
- Ceo
- Phone
- (843) 234-8220
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 5
Practitioners 31
-
Heather S Harden, ACNP
-
Johanna Haynes, LISW CP&AP
-
Johanna Melodie Maggio, DNP, AAHIVS
-
Kimberly Soutuyo, NP
-
Jessica Rose Thasitis, APRN
-
James W Adamson, MD
-
Natali Amaradasa, PMHNP-BC
-
Brandi Barnhill, APRN
-
Cassie Mylinda Floyd, FNP-C
-
Kimberly Marie Jackson, ACNPC-AG
-
James Melvin Lindsey Jr., M.D.
-
Sandra Moreno-Hussey, M.D.
-
John A Pfeiffer, MD
-
Alfonso L Sangtian Jr., M.D.
-
Neely Power Shepheard, APRN, FNP-C
-
Bi A. Tadzong-Fomundam, M.D.
-
Jennifer Watts, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Careteam Plus Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 20, 2018 |
| Careteam Plus Inc |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 20, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250204001577 | SC | Part B Supplier - Pharmacy | 2961678289 | Practice locations: Conway, SC |
National Provider Directory
- Tax ID family
- Careteam Plus Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | |||
| Specialty Pharmacy | 3336S0011X | Yes |
Addresses
Primary practice location
100 Professional Park Dr
Conway, SC 29526-9260
Mailing address
100 Professional Park Dr
Conway, SC 29526-9260
Other names
- Careteam Plus Pharmacy
Other providers in Conway, SC
- Sharon N Caputo
- Carebuddy of Horry County SC LLC
- Carebuddy of South Carolina LLC
- Caren Stewart & Associates, LLC
- Careteam Plus, Inc.
- Careteam Plus, Inc.
- Careteam Plus, Inc.
- Careteam Plus, Inc.
- Caris Healthcare LLC
- Orlane Marie Caro
All providers in Conway, SC · Specialty Pharmacy in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.