Active NPI
Johns Island Pharmacy LLC
- Community/Retail Pharmacy
- Johns Island, SC
National Provider Identifier
1053918458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JOHNS ISLAND PHARMACY LLC
- Practice address
- 3133 Maybank Hwy
Johns Island, SC 29455-4838 - Phone
- (843) 795-9554
- Fax
- (843) 795-2660
- NPI assigned
- Oct 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Lynn Dapore
- Title
- RPH/Owner
- Phone
- (843) 789-4777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3133 Maybank Hwy
Johns Island, SC 29455-4838
Mailing address
3133 Maybank Hwy
Johns Island, SC 29455-4838
Phone (843) 789-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7Z1180 | Medicaid | SC |
Other names 1
- JOHNS ISLAND PHARMACY
National Provider Directory
National Provider DirectoryLocations
3133 Maybank Hwy
Johns Island, SC 29455
Phone (843) 789-4777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Johns Island, SC
- NPI 1093074445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644364800000",
"number": "1053918458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3133 MAYBANK HWY",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294554838",
"telephone_number": "843-789-4777",
"fax_number": "843-789-4017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 MAYBANK HWY",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294554838",
"telephone_number": "843-795-9554",
"fax_number": "843-795-2660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNS ISLAND PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-08",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A",
"authorized_official_last_name": "DAPORE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "RPH/OWNER",
"authorized_official_telephone_number": "843-789-4777"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7Z1180",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JOHNS ISLAND PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JOHNS ISLAND PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Johns Island, SC
- Island Pediatric Therapy, LLC
- Island Transitions Counseling and Consulting, LLC.
- Julia Killingsworth Isom, D.O.
- Haley Marie Jamrog, M.S, BCBA
- Johns Island Chiropractic LLC
- Johns Island Post Acute, LLC
- Johns Island Rehabilitation and Healthcare Center, LLC
- Johns Island Urgent Care, LLC
- Kelli Elizabeth Johnston, D.O.
- Ashley Perdue Jordan, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.