NPIMap

Organization Active NPI

Plantation Pharmacy at Wappoo Road Inc

  • Community/Retail Pharmacy
  • Charleston, SC
National Provider Identifier
1154588101
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10532 Issued in SC
Legal business name
PLANTATION PHARMACY AT WAPPOO ROAD INC
Practice address
531 Wappoo Rd
Charleston, SC 29407-2223
Phone
(843) 556-1994
Fax
(843) 556-1991
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Deborah Dapore, RPH
Title
Owner/Pharmacist,Ao
Phone
(843) 795-9554

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 10532 SC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

531 Wappoo Rd
Charleston, SC 29407-2223

Mailing address

531 Wappoo Rd
Charleston, SC 29407-2223
Phone (843) 556-1994

Other identifiers 3

IdentifierTypeStateIssuer
2121347OtherPK
1154588101MedicaidSC
710532MedicaidSC

Other names 1

  • Plantation Pharmacy at Wappo Road Inc Doing business as

National Provider Directory

National Provider Directory

Locations

531 Wappoo Rd
Charleston, SC 29407
Phone (843) 556-1994

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1154588101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 WAPPOO RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294072223",
            "telephone_number": "843-556-1994",
            "fax_number": "843-556-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WAPPOO RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294072223",
            "telephone_number": "843-556-1994",
            "fax_number": "843-556-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION PHARMACY AT WAPPOO ROAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "DAPORE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER/PHARMACIST,AO",
        "authorized_official_telephone_number": "843-795-9554",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "10532",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121347",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154588101",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710532",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plantation Pharmacy at Wappo Road Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.