Pugh Drug of B-L, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PUGH DRUG OF B-L, INC

Practice address

317 Village Square Dr
Batesburg-Leesville, SC 29070

Phone

(803) 580-2400

Fax

(803) 580-2511

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. John Walter Pugh, PHARMDNPI 1265613376

Title

President

Phone

(803) 924-5963

Specialties & licenses 1

Addresses

Other names 1

• Prosperity Drug of Batesburg-Leesville 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.

• John Walter Pugh, PHAMD

  • Pharmacist
  • Prosperity, SC
  • NPI 1265613376
  NPD Authorized official
• Megan Jaco, PHARM.D

  • Pharmacist
  • Batesburg Leesville, SC
  • NPI 1750191318
  NPD

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1093559080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291270147",
            "telephone_number": "803-580-2400",
            "fax_number": "803-580-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 VILLAGE SQUARE DR",
            "city": "BATESBURG-LEESVILLE",
            "state": "SC",
            "postal_code": "29070",
            "telephone_number": "803-580-2400",
            "fax_number": "803-580-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGH DRUG OF B-L, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-924-5963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosperity Drug of Batesburg-Leesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Anderson Miller, MSN, APRN, NP-C
• Lauren Rudd Nates, MSN, APRN, NP-C
• Mary Abercrombie Oswald, NP
• Constance Lorraine Parson, FNP-BC
• Hieu Ngoc Phan, DMD
• Maria Christina Reed, PHARMD
• Cindy Marie Richardson, LPC
• Vernica Roberson, MS, NP-C
• Suzanne L Schwab, MD
• Amanda Heller Scott, PA-C

• All providers in Batesburg-Leesville, SC
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.