Boland Pharmacy 2

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

428 Issued in SC

Legal business name

BOLAND PHARMACY 2

Doing business as

Boland Pharmacy

Practice address

108 W Main St
Harleyville, SC 29448

Phone

(843) 462-7646

Fax

(843) 462-7646

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Judith Rickenbacker, RPH

Title

Pharm

Phone

(843) 462-7646

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BOLAND PHARMACY Doing business as

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1013072206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "HARLEYVILLE",
            "state": "SC",
            "postal_code": "294480096",
            "telephone_number": "843-462-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W MAIN ST",
            "city": "HARLEYVILLE",
            "state": "SC",
            "postal_code": "29448",
            "telephone_number": "843-462-7646",
            "fax_number": "843-462-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLAND PHARMACY 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "RICKENBACKER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PHARM",
        "authorized_official_telephone_number": "843-462-7646",
        "authorized_official_credential": "RPH"
    },
    "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": "428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SC704285",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087926",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sharkea Edwards Hicks, LPC-A
• Laurel Manor Group Homes Inc

• Community/Retail Pharmacy in Harleyville, SC
• Providers in Harleyville, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.