Organization Active NPI

M Holdings LLC

Doing business as My Pharmacy

  • Pharmacy
  • Lexington, SC
National Provider Identifier
1043858996
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
M HOLDINGS LLC
Doing business as
My Pharmacy
Practice address
808 Highway 378 Ste a
Lexington, SC 29072-8379
Phone
(803) 467-4350
NPI assigned
Dec 11, 2019
Last updated
Mar 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
James Hampton Manning, PHARMD
Title
Owner
Phone
(803) 756-3460

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

808 Highway 378 Ste a
Lexington, SC 29072-8379

Mailing address

808 Highway 378 Suite a Box 1
Lexington, SC 29072-8379

Other names 1

  • My Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL contact@mypharmacyandoptical.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200515002131 SC Part B Supplier - Mass Immunization (Roster Biller Only) 2062843501 Practice locations: Lexington, SC
O20220302000440 SC Part B Supplier - Independent Clinical Laboratory 2062843501 Practice locations: Lexington, SC
O20230629002385 SC DME Supplier - Pharmacy 2062843501 Practice locations: Lexington, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
M Holdings LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

808 Highway 378
Ste A
Lexington, SC 29072
Phone (803) 467-4350

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1043858996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 HIGHWAY 378 SUITE A BOX 1",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HIGHWAY 378 STE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728379",
            "telephone_number": "803-467-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HAMPTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-756-3460",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "contact@mypharmacyandoptical.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "808 Highway 378 Ste A",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290728379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "My Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.