Organization Active NPI

Ricks Carolina Pharmacy LLC

Doing business as Rick's Carolina Pharmacy

  • Long Term Care Pharmacy
  • Hardeeville, SC
National Provider Identifier
1578004719
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
16370 Issued in SC
Legal business name
RICKS CAROLINA PHARMACY LLC
Doing business as
Rick's Carolina Pharmacy
Practice address
22546 Whyte Hardee Blvd
Hardeeville, SC 29927-5368
Phone
(843) 784-2390
Fax
(843) 784-2391
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Mr. Ronak D Patel
Title
Owner
Phone
(843) 271-8588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 16370 SC
Long Term Care Pharmacy 3336L0003X 16370 SC Primary

Addresses

Primary practice location

22546 Whyte Hardee Blvd
Hardeeville, SC 29927-5368

Mailing address

PO Box 425
Hardeeville, SC 29927-0425
Phone (843) 784-2390

Other names 1

  • Rick's Carolina Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

22546 Whyte Hardee Blvd
Hardeeville, SC 29927
Phone (843) 784-2390

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1578004719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299270425",
            "telephone_number": "843-784-2390",
            "fax_number": "843-784-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22546 WHYTE HARDEE BLVD",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299275368",
            "telephone_number": "843-784-2390",
            "fax_number": "843-784-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKS CAROLINA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RONAK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-271-8588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "16370",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "16370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rick's Carolina Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.