# REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
- **Other names:** ReGenesis Health Care Pharmacy \#4
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649961434
- **Legal business name:** REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER
- **Authorized official:** LASHANN LONG CPC, CH-CBS, CH-CS (CREDENTIAL MANAGER)
- **Authorized official phone:** (864) 504-3628

## Contact information

- **Practice address:** 460 LANGDON ST, SPARTANBURG, SC 29302-1614
- **Practice address phone:** (864) 582-2411
- **Practice address fax:** (864) 582-7178
- **Mailing address:** PO BOX 5158, SPARTANBURG, SC 29304-5158
- **Mailing address phone:** (864) 582-2817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2023
- **Last updated:** 05/15/2023