Sweetgrass Pharmacy & Compounding LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11842 Issued in SC

Legal business name

SWEETGRASS PHARMACY & COMPOUNDING LLC

Practice address

1952 Long Grove Dr Ste 5
Mt Pleasant, SC 29464-7579

Phone

(843) 696-9103

NPI assigned

Jul 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia Reich, PHARMDNPI 1841609864

Title

Co-Owner

Phone

(843) 696-9103

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Sweetgrass Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sweetgrass Pharmacy & Compounding LLC

  • Long Term Care Pharmacy
  • Mt Pleasant, SC
  • NPI 1700426723
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sweetgrass Pharmacy & Compounding LLC

  • Long Term Care Pharmacy
  • Mt Pleasant, SC
  • NPI 1700426723
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Reich, PHARMD

  • Pharmacist
  • Mt Pleasant, SC
  • NPI 1841609864
  NPD (past) Authorized official
• Courtney Izzo Jarvis, PHARMD

  • Pharmacist
  • Mount Pleasant, SC
  • NPI 1225550437
  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1669889374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 LONG GROVE DR STE 5",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 LONG GROVE DR STE 5",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647579",
            "telephone_number": "843-696-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETGRASS PHARMACY & COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "843-696-9103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "11842",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "11842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Swanger, AGACNP-BC
• Allison Ann Swanson, PA
• Tracie E Sweatt, RPH
• Betsie G Sweet, LPC
• Sweetgrass Eyecare of Mount Pleasant
• Sweetgrass Pharmacy & Compounding LLC
• Sweetgrass Pharmacy Carolina Park, LLC
• Sweetgrass Pharmacy Carolina Park, LLC
• Sweetgrass Psychiatry LLC
• Sweetgrass Psychological Services LLC

• Community/Retail Pharmacy in Mt Pleasant, SC
• Providers in Mt 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 Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.