1. Home
  2. Directory
  3. South Carolina
  4. Elloree
  5. Pharmacy
  6. NPI Profile

ELLOREE PHARMACY, LLC
NPI 1912963745
Pharmacy - Community/Retail Pharmacy in Elloree, SC

Active since April 21, 2006CLIA 42D2182771 · Waiver
2611 CLEVELAND STREET, ELLOREE, SC 29047(803) 897-2131(803) 897-1129 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elloree Pharmacy, Llc NPPES

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

ELLOREE PHARMACY, LLC (NPI 1912963745) is a healthcare organization registered as a community/retail pharmacy in Elloree, South Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Van Willis High, Owner, as its authorized official.

NPPES Registry Identity

NPI1912963745
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameELLOREE PHARMACY LLC
Location Address2611 CLEVELAND STREETElloree, SC 29047
Mailing Address402 East Main StreetMoncks Corner, SC 29461 · (843) 761-5255 · Fax (843) 899-4970
Phone(803) 897-2131
Fax(803) 897-1129
Organization SubpartNo
Authorized OfficialVan Willis HighOwner · (843) 761-5255
Enumeration DateApril 21, 2006
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1912963745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in SC · 50007762
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.
2611 CLEVELAND STREET, Elloree, SC 29047
Open in Google Maps ↗

Other Names 1

Doing Business AsElloree Pharmacy, Llc

Other Identifiers 1

MedicaidDME276SC

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 42D2182771

Elloree Pharmacy, LLC · Elloree, SC
Active · expires Apr 26, 2028
CLIA Number42D2182771
Laboratory TypePharmacy
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorStan Lawhon
Laboratory Phone(803) 897-2131
Laboratory LocationElloree Pharmacy, LLC2611 Cleveland Street, Elloree, SC 29047
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
47 services47 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.
42 services42 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elloree Pharmacy LLC's NPI number?

The NPI number for Elloree Pharmacy LLC is 1912963745. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Elloree Pharmacy, LLC.

Where is Elloree Pharmacy LLC located?

Elloree Pharmacy LLC is located at 2611 Cleveland Street, Elloree, SC 29047. The listed phone number is (803) 897-2131.

What is Elloree Pharmacy LLC's specialty?

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

Does Elloree Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2182771) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elloree Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Elloree Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elloree Pharmacy LLC was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.