Active NPI
Pltcp LLC
- Long Term Care Pharmacy
- Columbia, SC
National Provider Identifier
1740201706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 14061
- Legal business name
- PLTCP LLC
- Practice address
- 317 Zimalcrest Dr
Columbia, SC 29210-6833 - Phone
- (803) 731-0203
- Fax
- (866) 935-3629
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Duane Everett
- Title
- Chief Operating Officer
- Phone
- (803) 397-8904
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 14061 | SC | Primary |
Addresses
Primary practice location
317 Zimalcrest Dr
Columbia, SC 29210-6833
Mailing address
4900 Perry Hwy
Building 2, 3Rd FL
Pittsburgh, PA 15229-2220
Phone (412) 931-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4225454 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Palmetto Long Term Care Pharmacy
National Provider Directory
National Provider DirectoryLocations
4900 Perry Hwy
Bldg 2
Pittsburgh, PA 15229
Phone (412) 295-6734
317 Zimalcrest Dr
Columbia, SC 29210
Phone (803) 731-0203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349654400000",
"number": "1740201706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 PERRY HWY",
"address_2": "BUILDING 2, 3RD FL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152292220",
"telephone_number": "412-931-3131",
"fax_number": "412-931-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 ZIMALCREST DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292106833",
"telephone_number": "803-731-0203",
"fax_number": "866-935-3629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLTCP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2012-10-08",
"status": "A",
"authorized_official_last_name": "EVERETT",
"authorized_official_first_name": "DUANE",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "803-397-8904"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "SC",
"license": "14061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4225454",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Palmetto Long Term Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.