Organization Active NPI

Pltcp LLC

  • Long Term Care Pharmacy
  • Columbia, SC
National Provider Identifier
1740201706
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
14061 Issued in SC
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

Updated by the provider on Oct 8, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4225454OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Palmetto Long Term Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.