MEDICARE: RON GROUP

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	3336S0011X	Specialty Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053908095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RON GROUP

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

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

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

Provider Enumeration Date	:	12/23/2020
Last Update Date	:	12/10/2025

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Directions to “RON GROUP ” Practice Location

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