Carolina Infusion

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

13447 Issued in SC

Legal business name

CAROLINA INFUSION

Practice address

405 Old House Rd Unit 102
Ridgeland, SC 29936-6946

Phone

(843) 645-8288

Fax

(843) 645-8289

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Jennifer Etheridge, PHARMD

Title

Ceo

Phone

(843) 645-8288

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Romeo Saclolo Abangan Jr., PHARMD

  • Pharmacist
  • Ridgeland, SC
  • NPI 1922388081
  NPD (past)

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1831461052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 OLD HOUSE RD UNIT 102",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299366946",
            "telephone_number": "843-645-8288",
            "fax_number": "843-645-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 OLD HOUSE RD UNIT 102",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299366946",
            "telephone_number": "843-645-8288",
            "fax_number": "843-645-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-645-8288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "13447",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "13447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hands Health Care, Inc.
• Caring Hands Health Equipment & Supplies LLC
• Caring Hands Health Equipment & Supplies, Inc.
• Carolina Doctors of Physical Therapy, LLC
• Carolina Home Hospice Corporation
• Jennifer Elaine Carter, PHD
• Elizabeth Chavez
• Coastal Carolina Medical Center, Inc
• Coastal Carolina Medical Center, Inc
• Jennifer Lynn Coleman

• All providers in Ridgeland, SC
• Compounding Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.