Plantation Pharmacy at Ellis Oaks

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

010727966 Issued in SC

Legal business name

PLANTATION PHARMACY AT ELLIS OAKS

Practice address

776 Daniel Ellis Dr
2C
Charleston, SC 29412-3094

Phone

(843) 795-9554

Fax

(843) 795-2660

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Dapore, R.PH.

Title

Owner

Phone

(843) 795-9554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Zachary William Mullin, PHARM D.

  • Pharmacist
  • Charleston, SC
  • NPI 1629543541
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1255416616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 DANIEL ELLIS DR",
            "address_2": "2C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123094",
            "telephone_number": "843-795-9554",
            "fax_number": "843-795-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 DANIEL ELLIS DR",
            "address_2": "2C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123094",
            "telephone_number": "843-795-9554",
            "fax_number": "843-795-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION PHARMACY AT ELLIS OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "DAPORE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-795-9554",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "010727966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780107",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Charleston, SC
• Providers in Charleston, 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 Jan 3, 2011; 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.