Organization Active NPI

Piedmont Pharmacy Asscociates Inc

  • Community/Retail Pharmacy
  • Lancaster, SC
National Provider Identifier
1053487967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50007293 Issued in SC
Legal business name
PIEDMONT PHARMACY ASSCOCIATES INC
Practice address
302 N Main St
C
Lancaster, SC 29720-2132
Phone
(803) 286-8855
Fax
(803) 286-5079
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eddie L. Garrett V, PHARMACIST
Title
Pharmacistowner
Phone
(803) 286-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50007293 SC Primary

Addresses

Primary practice location

302 N Main St
C
Lancaster, SC 29720-2132

Mailing address

302 C North Main St
Lancaster, SC 29720
Phone (803) 286-8855

Other identifiers 1

IdentifierTypeStateIssuer
772938MedicaidSC

Other names 1

  • THE MEDICINE MART Doing business as

National Provider Directory

National Provider Directory

Locations

302 N Main St
Ste C
Lancaster, SC 29720
Phone (803) 286-8855

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053487967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 C NORTH MAIN ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720",
            "telephone_number": "803-286-8855",
            "fax_number": "803-286-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "address_2": "C",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202132",
            "telephone_number": "803-286-8855",
            "fax_number": "803-286-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PHARMACY ASSCOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHARMACISTOWNER",
        "authorized_official_telephone_number": "803-286-8855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "V",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50007293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772938",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.