Organization Active NPI

Pharmacy Express LLC

  • Durable Medical Equipment & Medical Supplies
  • Florence, SC
National Provider Identifier
1073561890
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHARMACY EXPRESS LLC
Practice address
2803 W. Palmetto St
Florence, SC 29501-3916
Phone
(843) 665-2066
Fax
(843) 665-5128
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Mr. Scott Ross
Title
Owner
Phone
(843) 617-3235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2803 W. Palmetto St
Florence, SC 29501-3916

Mailing address

1937 W Palmetto St
PMB 122
Florence, SC 29501-3916
Phone (843) 665-2066

Other identifiers 2

IdentifierTypeStateIssuer
DE2454MedicaidSC
EN2144MedicaidSC

National Provider Directory

National Provider Directory

Locations

2803 W Palmetto St
Florence, SC 29501
Phone (843) 665-2066

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1073561890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 W PALMETTO ST",
            "address_2": "PMB 122",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013916",
            "telephone_number": "843-665-2066",
            "fax_number": "843-665-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 W. PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013916",
            "telephone_number": "843-665-2066",
            "fax_number": "843-665-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-617-3235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2454",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN2144",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.