Provider Demographics
NPI:1265819205
Name:KARMA HEALTHCARE LLC
Entity Type:Organization
Organization Name:KARMA HEALTHCARE LLC
Other - Org Name:IRON CITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SURYAKANT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-761-4566
Mailing Address - Street 1:301 W CHEROKEE ST STE E
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29702-1558
Mailing Address - Country:US
Mailing Address - Phone:864-761-4566
Mailing Address - Fax:864-761-0003
Practice Address - Street 1:301 W CHEROKEE ST STE E
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:SC
Practice Address - Zip Code:29702-1558
Practice Address - Country:US
Practice Address - Phone:864-761-4566
Practice Address - Fax:864-761-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
SC159343336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2151728OtherPK
SC715934Medicaid