Active NPI
Dotson Holdings LLC
- Pharmacy
- Bluffton, SC
National Provider Identifier
1073198537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- DOTSON HOLDINGS LLC
- Practice address
- 16 William Pope Dr Ste 201
Bluffton, SC 29909-7504 - Phone
- (843) 770-7707
- NPI assigned
- Mar 16, 2021
- 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
- Jacob Dotson, PHARMD
- Title
- Owner
- Phone
- (606) 255-3154
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
16 William Pope Dr Ste 201
Bluffton, SC 29909-7504
Mailing address
PO Box 121
Grayson, KY 41143-0121
Phone (606) 255-3154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20062 | Other | SC | BOP |
Other names 1
- Beaufort Drug Company
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.beaufortdrug.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220427002055 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 6608265921 | Practice locations: Bluffton, SC |
| O20220913000760 | SC | Part B Supplier - Pharmacy | 6608265921 | Practice locations: Bluffton, SC |
National Provider Directory
National Provider DirectoryLocations
16 William Pope Dr
Bluffton, SC 29909
Phone (606) 255-3154
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric Pharmacist
- Bluffton, SC
- NPI 1568199594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632960000000",
"number": "1073198537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411430121",
"telephone_number": "606-255-3154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 WILLIAM POPE DR STE 201",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299097504",
"telephone_number": "843-770-7707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOTSON HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-16",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A",
"authorized_official_last_name": "DOTSON",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-255-3154",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOP",
"identifier": "20062",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.beaufortdrug.com",
"affiliation": "N",
"address_1": "16 William Pope Dr Ste 201",
"city": "Bluffton",
"state": "SC",
"country_code": "US",
"postal_code": "299097504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Beaufort Drug Company",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.