Eureka Drug Stores, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1844 Issued in SC

Legal business name

EUREKA DRUG STORES, INC.

Doing business as

Value-Pak Pharmacy

Practice address

1032 Broad St
Camden, SC 29020-4308

Phone

(803) 432-5851

Fax

(803) 432-7861

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth M Ross

Title

Ceo

Phone

(864) 984-3541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Value-Pak Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1093864654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 BROAD ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204308",
            "telephone_number": "803-432-5851",
            "fax_number": "803-432-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 BROAD ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204308",
            "telephone_number": "803-432-5851",
            "fax_number": "803-432-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA DRUG STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-984-3541"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "718442",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value-Pak Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Camden, SC
• Providers in Camden, 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 Sep 25, 2008; 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.