Clinton Discount Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14833 Issued in SC

Legal business name

CLINTON DISCOUNT PHARMACY LLC

Doing business as

Clinton Discount Pharmacy

Practice address

202 N Broad St
Clinton, SC 29325-2304

Phone

(864) 387-7151

Fax

(864) 342-7938

NPI assigned

Sep 23, 2013

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vishal Patel

Title

Pharmacy Ceo

Phone

(864) 387-7151

Specialties & licenses 2

Addresses

Other names 1

• Clinton Discount Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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.

• John Edward Oatis III, PHARMD

  • Pharmacist
  • Greenville, SC
  • NPI 1912331927
  NPD
• Pankajkumar Ravani

  • Pharmacist
  • Clinton, SC
  • NPI 1407279292
  NPD (past)

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1093141970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252304",
            "telephone_number": "864-387-7151",
            "fax_number": "864-342-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252304",
            "telephone_number": "864-387-7151",
            "fax_number": "864-342-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "PHARMACY CEO",
        "authorized_official_telephone_number": "864-387-7151"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "14833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Jo Davis Christie, BCBA
• Clear Skye Medical Holdings, LLC
• Clinton Crack House
• Clinton Dental Care LLC
• Clinton Dialysis Clinic LLC
• Clinton Family Practice, Inc.
• Shelley Colip
• Sarah Kathryn Cook
• Kevin Council Coppedge, D.O.
• Covenant Surgical Care LLC

• Community/Retail Pharmacy in Clinton, SC
• Providers in Clinton, 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 Nov 19, 2024; 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.

Verify at the official NPI Registry.