Cromer Medical Services Inc
Organization Active NPI Community/Retail Pharmacy · Newberry, SC
NPI 1528079175 · NPPES record last updated Apr 12, 2021
Key facts
- NPI
- 1528079175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5289 (SC)
- Legal business name
- CROMER MEDICAL SERVICES INC
- Practice address
- 1310 Wilson Rd
Newberry, SC 29108-3048 - Phone
- (803) 276-0990
- Fax
- (803) 276-4276
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Candace Frick
- Title
- Pharmacy Manager
- Phone
- (803) 276-0990
Practitioners 2
-
Candace Cromer Frick, PHARMD
-
Emily Noel Franklin, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2183063 | Cromer Medical Sservices Dba Lorex Drugs | Certificate of waiver | Apr 28, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180330000358 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 8426310517 | Practice locations: Newberry, SC |
National Provider Directory
Locations
1233 Wilson Rd
Newberry, SC 29108
Phone (803) 276-0990
1310 Wilson Rd
Newberry, SC 29108
Phone (803) 276-0990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5289 | SC | Yes |
Addresses
Primary practice location
1310 Wilson Rd
Newberry, SC 29108-3048
Mailing address
1310 Wilson Rd
Newberry, SC 29108-3048
Phone (803) 276-0990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 752895 | Medicaid | SC | |
| 2091708 | Other | PK |
Other names
- LoRex Drugs
Other providers in Newberry, SC
- Elizabeth Ashleigh Cline
- Compass Family Medicine,PA
- Peggy R Copulsky
- Jeffrey Alan Coulter
- Katherine Cox
- Ronnie W Cromer
- Linda J Crout Wingard
- Lukas Daniel
- Danielle Renae Davis
- Mark A Davis
All providers in Newberry, SC · Community/Retail Pharmacy in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.