Pruitthealth Pharmacy Services, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

50006741 Issued in SC

Legal business name

PRUITTHEALTH PHARMACY SERVICES, INC.

Doing business as

PruittHealth Pharmacy Services - Lexington

Practice address

328 Riverchase Way
Lexington, SC 29072-8010

Phone

(803) 739-4949

Fax

(803) 739-4950

NPI assigned

Jun 2, 2006

Last updated

Jul 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neil L Pruitt Jr.

Title

Chairman and Ceo

Phone

(770) 279-6200

Specialties & licenses 1

Addresses

Other names 1

• PruittHealth Pharmacy Services - Lexington Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pruitthealth Pharmacy Services, Inc.

  dba PruittHealth Pharmacy Services - Toccoa

  • Long Term Care Pharmacy
  • Toccoa, GA
  • NPI 1902853112

  8224266796

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Allen Ard, P.A.

  • Physician Assistant
  • Aiken, SC
  • NPI 1023078011
  NPD (past)
• Staccey Bascue, NP

  • Nurse Practitioner
  • Easley, SC
  • NPI 1346870268
  NPD (past)
• Sandra Marion Bremner, FNP

  • Family Nurse Practitioner
  • Conway, SC
  • NPI 1699722884
  NPD (past)
• Devyn Miller Frazee, PHARMD

  • Pharmacist
  • Lexington, SC
  • NPI 1861730822
  NPD (past)
• Jessica Marie Hellman, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Ridgeway, SC
  • NPI 1164046652
  NPD (past)
• Samantha Hoover, APRN

  • Nurse Practitioner
  • Orangeburg, SC
  • NPI 1740955251
  NPD (past)
• Anna B. Schluter, APRN

  • Family Nurse Practitioner
  • Summerville, SC
  • NPI 1922582048
  NPD (past)
• Mekesha Shaw, DNP

  • Family Nurse Practitioner
  • Florence, SC
  • NPI 1922589704
  NPD (past)
• Kaila Anne Young, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Columbia, SC
  • NPI 1083187942
  NPD (past)
• Tammy Henry Bradshaw, NP-C

  • Family Nurse Practitioner
  • Monroe, NC
  • NPI 1134690282
  NPD (past)
• Matthew Parsons, PHARM.D.

  • Pharmacist
  • Toccoa, GA
  • NPI 1861896979
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1841237245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 JEURGENS CT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932219",
            "telephone_number": "770-279-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 RIVERCHASE WAY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728010",
            "telephone_number": "803-739-4949",
            "fax_number": "803-739-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUITTHEALTH PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "770-279-6200",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "50006741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PruittHealth Pharmacy Services - Lexington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Orthopaedic Group LLC (Moore Orthopaedic Clinic)
• Providence Orthopedic Group, LLC (Moore Center for Orthopedics)
• Alex M. Pruett, MSW, LISW CP
• James Luther Pruitt Jr., MD
• Patricia Lee Pruitt, PH.D.
• Pruitthealth Therapy Services, Inc.
• Publix Super Markets Inc (Publix Pharmacy #1383)
• Publix Super Markets Inc (Publix Pharmacy #0512)
• Publix Super Markets, Inc. (Publix Pharmacy #1637)
• Kelley Jordan Puckett, PT

• Long Term Care Pharmacy in Lexington, SC
• Providers in Lexington, 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 Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.