MEDICINE MART OF WEST COLUMBIA
NPI 1598858987
Pharmacy - Community/Retail Pharmacy in West Columbia, SC

Q: What is Med Mart Weco LLC's NPI number?

The NPI number for Med Mart Weco LLC is 1598858987. It was assigned to this organization in the NPPES registry on September 30, 2006. The provider is doing business as Medicine Mart Of West Columbia.

Q: What is Med Mart Weco LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Med Mart Weco LLC was last updated on December 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 30, 2006CLIA 42D2066080 · Waiver

1300 SUNSET BLVD, WEST COLUMBIA, SC 29169(803) 791-7043(803) 796-1519 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2024, May 9, 2022 (2 updates tracked since 2022).

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About Medicine Mart Of West Columbia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICINE MART OF WEST COLUMBIA (NPI 1598858987) is a healthcare organization registered as a community/retail pharmacy in West Columbia, South Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Michael Adam Gleaton, Owner, as its authorized official.

NPPES Registry Identity

NPI1598858987

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMED MART WECO LLC

Location Address1300 SUNSET BLVDWest Columbia, SC 29169-5914

Mailing Address1300 Sunset BlvdWest Columbia, SC 29169-5914 · (803) 791-7043 · Fax (803) 796-1519

Phone(803) 791-7043

Fax(803) 796-1519

Organization SubpartNo

Authorized OfficialMichael Adam GleatonOwner · (803) 957-5969

Enumeration DateSeptember 30, 2006

Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration

NPPES CertifiedDecember 6, 2024

✔ NPI 1598858987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1300 SUNSET BLVD, West Columbia, SC 29169

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Other Names 1

Doing Business AsMedicine Mart Of West Columbia

Other Identifiers 1

Medicaid717584SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2066080

Medicine Mart Of West Columbia, Inc · West Columbia, SC

Active · expires Sep 19, 2027

CLIA Number42D2066080

Laboratory TypePharmacy

Certificate Effective DateSeptember 20, 2025

Certificate Expiration DateSeptember 19, 2027

Laboratory DirectorLynn E. Connelly

Laboratory Phone(803) 791-7043

Laboratory LocationMedicine Mart Of West Columbia, Inc1302 Sunset Blvd, West Columbia, SC 29169

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

286 services285 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

163 services163 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

113 services112 patients

Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201

The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.

52 services48 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

48 services48 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

36 services36 patients

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARA KATHERINE SHUGART PHARMD.

Pharmacist