Palmetto Patriots Home Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PALMETTO PATRIOTS HOME PHARMACY

Practice address

120 Hampshire Dr
Gaffney, SC 29341-2267

Phone

(864) 480-7163

NPI assigned

May 14, 2021

Organization subpart

Yes

Parent organization

VSI OF SOUTH CAROLINA, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Michael Harrison McBride II

Title

Director of Operations

Phone

(864) 915-1816

Specialties & licenses 1

Addresses

Part of

Palmetto Patriots Home Pharmacy

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1003480013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296235285",
            "telephone_number": "864-480-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HAMPSHIRE DR",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412267",
            "telephone_number": "864-480-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PATRIOTS HOME PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VSI OF SOUTH CAROLINA, LLC",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "864-915-1816",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Long Term Care Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.