Organization Active NPI

Congress Street Pharmacy

Doing business as Congress Street Pharmacy LTC

  • Long Term Care Pharmacy
  • York, SC
National Provider Identifier
1033896063
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CONGRESS STREET PHARMACY
Doing business as
Congress Street Pharmacy LTC
Practice address
12 Congress St N
York, SC 29745-1529
Phone
(803) 818-4116
Fax
(803) 818-4112
NPI assigned
Jun 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
William T Dunlap, RPH
Title
Owner
Phone
(803) 818-4116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

12 Congress St N
York, SC 29745-1529

Mailing address

12 Congress St N
York, SC 29745-1529
Phone (803) 818-4116

Other names 1

  • Congress Street Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Congress Street Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12 Congress St N
York, SC 29745
Phone (803) 818-4116

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1033896063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CONGRESS ST N",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451529",
            "telephone_number": "803-818-4116",
            "fax_number": "803-818-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CONGRESS ST N",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297451529",
            "telephone_number": "803-818-4116",
            "fax_number": "803-818-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONGRESS STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-818-4116",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Congress Street Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.