Organization Active NPI

Capsules Inc

Doing business as Apothecare Pharmacy

  • Community/Retail Pharmacy
  • Leesville, SC
National Provider Identifier
1003858648
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50004669 Issued in SC
Legal business name
CAPSULES INC
Doing business as
Apothecare Pharmacy
Practice address
134 E Columbia Ave
Leesville, SC 29070-8004
Phone
(803) 532-7222
Fax
(803) 332-9876
NPI assigned
Jun 11, 2006
Last updated
Aug 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Gregory MayerNPI 1528518248
Title
President
Phone
(803) 532-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 50004669 SC Primary

Addresses

Primary practice location

134 E Columbia Ave
Leesville, SC 29070-8004

Mailing address

134 E Columbia Ave
Leesville, SC 29070-8004
Phone (803) 532-7222

Other identifiers 2

IdentifierTypeStateIssuer
728736MedicaidSC
2090443OtherPK

Other names 1

  • APOTHECARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181001000386 SC Part B Supplier - Mass Immunization (Roster Biller Only) 7113228941 Practice locations: Leesville, SC

National Provider Directory

National Provider Directory

Locations

134 E Columbia Ave
Leesville, SC 29070
Phone (803) 532-7222

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1003858648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 E COLUMBIA AVE",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290708004",
            "telephone_number": "803-532-7222",
            "fax_number": "803-532-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 E COLUMBIA AVE",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290708004",
            "telephone_number": "803-532-7222",
            "fax_number": "803-332-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSULES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-532-7222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50004669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "728736",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090443",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APOTHECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.