Delta Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

DELTA PHARMACY INC

Doing business as

Delta Pharmacy, Inc

Practice address

402 E Main St
Moncks Corner, SC 29461-3616

Phone

(843) 761-5255

Fax

(843) 761-5255

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Vanessa Kennedy

Title

Pharmacist

Phone

(843) 761-5255

Specialties & licenses 1

Addresses

Other names 1

• Delta Pharmacy, Inc Doing business as

Tax ID family

Delta Pharmacy Inc2 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.

• Delta Pharmacy Inc

  • Community/Retail Pharmacy
  • Moncks Corner, SC
  • NPI 1275596249
  NPD tax ID

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1710745450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613616",
            "telephone_number": "843-761-5255",
            "fax_number": "843-761-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613616",
            "telephone_number": "843-761-5255",
            "fax_number": "843-761-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "843-761-5255"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Pharmacy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Dean, RN
• Robin Chiffon Dean, LMT
• Charlene Dejoseph, COTA/L
• Valerie M. Del Torto, RN
• Delta Pharmacy Inc
• McGregor T. Dennis Jr., D.M.D.
• Rebecca Denny
• Dental Professionals of South Carolina, P.C. (Dental Care at Foxbank)
• Yvonne Dingle-Rogers
• Delissa L Dixon, MSW

• Long Term Care Pharmacy in Moncks Corner, SC
• Providers in Moncks Corner, 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 22, 2024; 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.