Parkway Discount Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

15212 Issued in SC

Legal business name

PARKWAY DISCOUNT PHARMACY

Practice address

2126 Highway 9 E
BLDG D Suite 9
Longs, SC 29568-5725

Phone

(843) 399-9800

NPI assigned

May 14, 2014

Last updated

May 14, 2014By 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

Mr. Kayode Sikiru Odediran, PHARMACIST

Title

Ownwer

Phone

(843) 399-9800

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1104237924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 HIGHWAY 9 E",
            "address_2": "BLDG D SUITE 9",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295685725",
            "telephone_number": "843-399-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 HIGHWAY 9 E",
            "address_2": "BLDG D SUITE 9",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295685725",
            "telephone_number": "843-399-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "ODEDIRAN",
        "authorized_official_first_name": "KAYODE",
        "authorized_official_middle_name": "SIKIRU",
        "authorized_official_title_or_position": "OWNWER",
        "authorized_official_telephone_number": "843-399-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "15212",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "15212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Longs, SC
• Providers in Longs, SC by specialty
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.