NCS Healthcare of South Carolina, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NCS HEALTHCARE OF SOUTH CAROLINA, LLC

Doing business as

Omnicare of Charleston #48343

Practice address

444 Deanna LN
Suite D
Wando, SC 29492-7938

Phone

(843) 884-1230

NPI assigned

Jul 12, 2006

Last updated

Oct 16, 2019By 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

Susan Colbert

Title

Sr Director, Payer Relations

Phone

(401) 770-2157

Specialties & licenses 1

Addresses

Other names 1

• Omnicare of Charleston #48343 Doing business as

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

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

• CVS Pharmacy Inc

  dba CVS Pharmacy # 05874

  • Pharmacy
  • Boston, MA
  • NPI 1821197120

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1649205071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 DEANNA LN",
            "address_2": "SUITE D",
            "city": "WANDO",
            "state": "SC",
            "postal_code": "294927938",
            "telephone_number": "843-884-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCS HEALTHCARE OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2157"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Charleston #48343",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ruth Couch, BCBA
• Kason Richler, Inc (K&R Pharmacy)
• Sarah Kennerly Lustig, RN
• Med-Caire Inc.
• Laura Todd Misenhelter, RPH
• Shweta Patel
• Playtime Pediatric Physical Therapy
• Tremex Termite & Pest Control, Inc

• Long Term Care Pharmacy in Wando, SC
• Providers in Wando, SC by specialty
• Long Term Care Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.