Active NPI
Timmonsville Drug Inc
Doing business as Timmonsville Pharmacy
- Community/Retail Pharmacy
- Timmonsville, SC
National Provider Identifier
1083675391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 4683
- Legal business name
- TIMMONSVILLE DRUG INC
- Doing business as
- Timmonsville Pharmacy
- Practice address
- 309 E Smith St
Timmonsville, SC 29161-1821 - Phone
- (843) 346-5410
- Fax
- (843) 346-5414
- NPI assigned
- Mar 28, 2006
- Last updated
- Aug 7, 2009
- 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
- Douglas Moore
- Title
- Treasurer Mang
- Phone
- (843) 346-5410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 4683 | SC | Primary |
Addresses
Primary practice location
309 E Smith St
Timmonsville, SC 29161-1821
Mailing address
309 E Smith St
Timmonsville, SC 29161-1821
Phone (843) 346-5410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 746837 | Medicaid | SC | |
| 4216568 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- TIMMONSVILLE PHARMACY
National Provider Directory
National Provider DirectoryLocations
309 E Smith St
Timmonsville, SC 29161
Phone (843) 346-5410
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Florence, SC
- NPI 1174871065
-
- Pharmacist
- Timmonsville, SC
- NPI 1649656216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249603200000",
"number": "1083675391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E SMITH ST",
"city": "TIMMONSVILLE",
"state": "SC",
"postal_code": "291611821",
"telephone_number": "843-346-5410",
"fax_number": "843-346-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E SMITH ST",
"city": "TIMMONSVILLE",
"state": "SC",
"postal_code": "291611821",
"telephone_number": "843-346-5410",
"fax_number": "843-346-5414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMMONSVILLE DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2009-08-07",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "TREASURER MANG",
"authorized_official_telephone_number": "843-346-5410"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "4683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "746837",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4216568",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TIMMONSVILLE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Timmonsville, SC
- Joy Schuth, NRP
- Allison Slice, FNP
- Shelley Stokes, MS,CCC-SLP
- Sandy Stone
- Ranetra Nicole Stuckey, MSN, RN
- Timmonsville Family Dentistry
- Timmonsville Rescue Squad
- Tiny Hands Therapy Services, LLC
- Jean Weaver Tomlinson, RDH
- True to You in-Home Services LLC (True To You In-Home Patient Care Services, LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.