Organization Active NPI

Clarendon Memorial Hospital

Doing business as Cypress Center LTC Pharmacy

  • Long Term Care Pharmacy
  • Manning, SC
National Provider Identifier
1093987091
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
50009873 Issued in SC
Legal business name
CLARENDON MEMORIAL HOSPITAL
Doing business as
Cypress Center LTC Pharmacy
Practice address
50 E Hospital St Ste 1
Manning, SC 29102-3149
Phone
(803) 435-5272
Fax
(803) 435-5271
NPI assigned
Mar 31, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARENDON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Richard W Stokes
Title
Cfo
Phone
(803) 435-8463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 50009873 SC Primary

Addresses

Primary practice location

50 E Hospital St Ste 1
Manning, SC 29102-3149

Mailing address

50 E Hospital St Ste 1
Manning, SC 29102-3149
Phone (803) 435-5272

Other names 1

  • CYPRESS CENTER LTC PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarenoon Memorial Hosp14 organizations share this tax ID, including this one
Part of
Clarenoon Memorial Hosp

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

50 E Hospital St
Ste 1
Manning, SC 29102
Phone (803) 435-5272

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1093987091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E HOSPITAL ST STE 1",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023149",
            "telephone_number": "803-435-5272",
            "fax_number": "803-435-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HOSPITAL ST STE 1",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023149",
            "telephone_number": "803-435-5272",
            "fax_number": "803-435-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARENDON MEMORIAL HOSPITAL",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "803-435-8463"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "50009873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYPRESS CENTER LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manning, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.