=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568527752
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOPEHEALTH INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/27/2006
-----------------------------------------------------
Last Update Date | 03/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 215 VARNER AVE
-----------------------------------------------------
City | GREELEYVILLE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29056-0000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-426-2170
-----------------------------------------------------
Fax | 843-426-2166
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 360 N IRBY ST
-----------------------------------------------------
City | FLORENCE
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29501-2808
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-656-0390
-----------------------------------------------------
Fax | 843-667-9435
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF FINANCIAL OFFICER
-----------------------------------------------------
Name | MARK EDWARD VINSON
-----------------------------------------------------
Credential | CPA
-----------------------------------------------------
Telephone | 843-656-0353
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 1702
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------