Healthcare Provider Details

I. General information

NPI: 1265028583
Provider Name (Legal Business Name): RON GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2020
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 BELLE ISLE AVE STE 150
MOUNT PLEASANT SC
29464-8381
US

IV. Provider business mailing address

1501 BELLE ISLE AVE STE 150
MOUNT PLEASANT SC
29464-8381
US

V. Phone/Fax

Practice location:
  • Phone: 843-352-7662
  • Fax:
Mailing address:
  • Phone: 843-941-5220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AUBREY LYNN CHISUM
Title or Position: SVP
Credential:
Phone: 843-941-5220