Organization Active NPI

Qsrex Pharmacy Professionals

  • Community/Retail Pharmacy
  • Columbia, SC
National Provider Identifier
1003241258
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
14138 Issued in SC
Legal business name
QSREX PHARMACY PROFESSIONALS
Practice address
301 Rice Meadow Way
Suite 5
Columbia, SC 29229-8403
Phone
(803) 708-1229
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Collins O Odukogbe, PHARMD
Title
Vice President
Phone
(803) 467-9172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 14138 SC Primary

Addresses

Primary practice location

301 Rice Meadow Way
Suite 5
Columbia, SC 29229-8403

Mailing address

301 Rice Meadow Way
Suite 5
Columbia, SC 29229-8403
Phone (803) 708-1229

Other names 1

  • Qsrex Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

301 Rice Meadow Way
Ste 5
Columbia, SC 29229
Phone (803) 708-1229

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1003241258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RICE MEADOW WAY",
            "address_2": "SUITE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298403",
            "telephone_number": "803-708-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RICE MEADOW WAY",
            "address_2": "SUITE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298403",
            "telephone_number": "803-708-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QSREX PHARMACY PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "ODUKOGBE",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "803-467-9172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "14138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qsrex Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.