Longs Drugstores of SC Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11840 Issued in NC

Legal business name

LONGS DRUGSTORES OF SC INC

Practice address

8810 Farrow Rd
Ste C
Columbia, SC 29203-8802

Phone

(803) 736-5975

Fax

(803) 419-7333

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Marshall Frost, PHARMD

Title

Director of Business Dev

Phone

(404) 583-6945

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LONGS PHARMACY AT GATEWAY Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Long'S Drugstores of South Carolina, Inc.

  • Community/Retail Pharmacy
  • Greenville, SC
  • NPI 1548769219

  O20040614001381

  Same enrollment
• Longs Drugstores of SC Inc

  • Community/Retail Pharmacy
  • Charleston, SC
  • NPI 1013428176

  O20040614001381

  Same enrollment
• Longs Drugstores of SC Inc

  • Community/Retail Pharmacy
  • Rock Hill, SC
  • NPI 1275030645

  O20040614001381

  Same enrollment
• Longs Drugstores of SC Inc

  • Community/Retail Pharmacy
  • Columbia, SC
  • NPI 1316030190

  O20040614001381

  Same enrollment
• Longs Drugstores of SC Inc

  • Community/Retail Pharmacy
  • Columbia, SC
  • NPI 1538252671

  O20040614001381

  Same enrollment

Locations

Practitioners 3

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

• Kimberly Stamps Kelly, RPH

  • Pharmacist
  • Columbia, SC
  • NPI 1568506806
  NPD (past)
• James Dwight McNinch, RPH

  • Pharmacist
  • Columbia, SC
  • NPI 1326182676
  NPD (past)
• Gaisha Weston

  • Pharmacy Technician
  • Columbia, SC
  • NPI 1891168480
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1124112479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602680",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602680",
            "telephone_number": "803-736-5975",
            "fax_number": "803-419-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8810 FARROW RD",
            "address_2": "STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038802",
            "telephone_number": "803-736-5975",
            "fax_number": "803-419-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS DRUGSTORES OF SC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEV",
        "authorized_official_telephone_number": "404-583-6945",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "15056",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751834",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2091803",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONGS PHARMACY AT GATEWAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Elaine Long, PHARMD
• Tyler Austin Long, ATC
• Dail Wilson Longaker, MD
• Longcreek Family Practice
• Longs Drugstores of SC Inc
• Longs Drugstores of SC Inc
• Longs Drugstores of SC Inc
• Saran Looby, PHD
• Look, PC
• Kalia Trinace Loper

• Community/Retail Pharmacy in Columbia, SC
• Providers in Columbia, 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 Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.