Ricks Carolina Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16370 Issued in SC

Legal business name

RICKS CAROLINA PHARMACY LLC

Doing business as

Rick's Carolina Pharmacy

Practice address

22546 Whyte Hardee Blvd
Hardeeville, SC 29927-5738

Phone

(843) 784-2390

Fax

(843) 784-2391

NPI assigned

Feb 15, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine AdamsNPI 1932406972

Title

Pharmacist in Charge

Phone

(843) 784-2390

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Rick's Carolina Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Adams

  • Pharmacist
  • Hardeeville, SC
  • NPI 1932406972
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1043679434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299270425",
            "telephone_number": "843-784-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22546 WHYTE HARDEE BLVD",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299275738",
            "telephone_number": "843-784-2390",
            "fax_number": "843-784-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKS CAROLINA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "843-784-2390"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "16370",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716370",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158571",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003176788A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rick's Carolina Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yulinda Laschon Rhodes, DDS
• Ricks Carolina Pharmacy LLC
• Sean Michael Riley, PA-C, RT (R)(CT)
• Shawna Colleen Roberts, FNP-BC
• Kathleen A Rokavec, MD
• Ronald P. Collins,DC

• Community/Retail Pharmacy in Hardeeville, SC
• Providers in Hardeeville, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.