National Direct Home Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

NATIONAL DIRECT HOME PHARMACY

Practice address

317 Zimalcrest Dr
Columbia, SC 29210-6833

Phone

(803) 731-0203

Fax

(803) 731-0086

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

John T Crocker

Title

VP-Operations

Phone

(803) 731-0203

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1063517795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 ZIMALCREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106833",
            "telephone_number": "803-731-0203",
            "fax_number": "803-731-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 ZIMALCREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292106833",
            "telephone_number": "803-731-0203",
            "fax_number": "803-731-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL DIRECT HOME PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP-OPERATIONS",
        "authorized_official_telephone_number": "803-731-0203"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787655",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Columbia, SC
• Providers in Columbia, SC by specialty
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.