Long Point Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

BL7753331 Issued in SC

Legal business name

LONG POINT PHARMACY

Practice address

616 Long Point Rd
Unit H
Mt Pleasant, SC 29464-8222

Phone

(843) 884-8806

Fax

(843) 884-1253

NPI assigned

Feb 7, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Denise R. Bethea

Title

Office Manager

Phone

(843) 884-8806

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1477693729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 LONG POINT RD",
            "address_2": "UNIT H",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648222",
            "telephone_number": "843-884-8806",
            "fax_number": "843-884-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 LONG POINT RD",
            "address_2": "UNIT H",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648222",
            "telephone_number": "843-884-8806",
            "fax_number": "843-884-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG POINT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-884-8806",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50006597",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "BL7753331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4224060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PHARMACY PERMIT",
            "identifier": "5006597",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "765977",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC STATE CONT. SUBST ACT",
            "identifier": "1006597",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Logan, MA, LPC-A
• Nicole Renee Logan, LPC
• Alice Gail Loguidice, CPNP
• Jennifer Elisabeth Lohse, DMD, MS
• Long Point Family Chiropractic, LLC
• Edward R Long, PT
• Eric Lee Long, MD
• Joshua Christian Long, PT
• Longboard Dental LLC
• Longboard Recovery

• Community/Retail Pharmacy in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Mar 7, 2023; 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.