NPIMap

Organization Active NPI

Stride Pharmacy

  • Community/Retail Pharmacy
  • North Charleston, SC
National Provider Identifier
1356982698
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
STRIDE PHARMACY
Practice address
3471 W Montague Ave
North Charleston, SC 29418-5938
Phone
(803) 256-6776
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Kevin L Ray, DPMNPI 1194752253
Title
Ceo
Phone
(803) 256-6776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3471 W Montague Ave
North Charleston, SC 29418-5938

Mailing address

1730 Saint Julian PL
Columbia, SC 29204-2410
Phone (803) 256-6776

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

127 MacArthur Dr
Hinesville, GA 31313
Phone (912) 446-3824

910 E 70th St
#2
Savannah, GA 31405

164 University Pkwy
Ste 103
Aiken, SC 29801

1181 Ribaut Rd
Beaufort, SC 29902

1181 Ribaut Rd
#101
Beaufort, SC 29902
Phone (843) 473-6068

1315 Ashley River Rd
Unit 2
Charleston, SC 29407

120 Highland Center Dr
Ste 107
Columbia, SC 29203
Phone (803) 490-0960

709 W Evans St
Florence, SC 29501
Phone (843) 665-4567

204 S 2nd St
Hartsville, SC 29550
Phone (843) 332-7900

1112 Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone (843) 981-5008

2032 Medical Park Dr
Ste 2
Newberry, SC 29108

3471 W Montague Ave
North Charleston, SC 29418
Phone (843) 553-2235

515 Carnes Crossing Blvd
Ste A
Summerville, SC 29486

901 12th St
West Columbia, SC 29033
Phone (803) 796-0616

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1356982698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 SAINT JULIAN PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042410",
            "telephone_number": "803-256-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 W MONTAGUE AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294185938",
            "telephone_number": "803-256-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-256-6776",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.