Irmo Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9643 Issued in SC

Legal business name

IRMO DRUG INC

Practice address

1009 Lake Murray Blvd
Ste B
Irmo, SC 29063-2824

Phone

(803) 749-7485

Fax

(803) 749-7488

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Robert Chapman, RPH

Title

Pic

Phone

(803) 749-7485

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• IRMO DRUG Doing business as

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1083801286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 LAKE MURRAY BLVD",
            "address_2": "STE B",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632824",
            "telephone_number": "803-749-7485",
            "fax_number": "803-749-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 LAKE MURRAY BLVD",
            "address_2": "STE B",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632824",
            "telephone_number": "803-749-7485",
            "fax_number": "803-749-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRMO DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "803-749-7485",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "9643",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRMO DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Takeo Ichiyanagi, MS, ATC
• Impactworks, LLC
• Inspired Wellness, LLC
• Integrity Therapy Services, LLC
• Irmo Counseling Services
• Irmo Family Chiropractic, Inc
• Irmo Kids Dental LLC
• Irmo Primary Eyecare LLC
• Everlena Isaac
• J&J Anesthesia, LLC

• Community/Retail Pharmacy in Irmo, SC
• Providers in Irmo, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.