MEDICARE: RON GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	15688	SC
2	3336H0001X	Home Infusion Therapy Pharmacy
3	3336S0011X	Specialty Pharmacy

General Provider Information

NPI Number	:	1285027391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RON GROUP, LLC

Provider Business Mailing Address
First Line	:	1501 BELLE ISLE AVE STE 150
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-8381
Country	:	US
Telephone Number	:	843-941-5220
Fax Number	:	843-376-1623

Provider Business Practice Location Address
First Line	:	1501 BELLE ISLE AVE STE 150
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-8381
Country	:	US
Telephone Number	:	843-352-7662
Fax Number	:	833-898-3992

Authorized Official
Title or Position	:	SVP
Name	:	AUBREY LYNN CHISUM
Credential	:
Telephone Number	:	843-941-5220

Provider Enumeration Date	:	03/13/2015
Last Update Date	:	12/10/2025

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