Banks Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BANKS PHARMACY

Practice address

100 Ridge Medical Plaza
Suite 101
Edgefield, SC 29824

Phone

(803) 637-5757

Fax

(803) 637-9996

NPI assigned

Nov 26, 2007

Last updated

May 2, 2022By 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. Keith James Matthews, R.PH.NPI 1306356993

Title

Pharmacist-in-Charge

Phone

(706) 869-9799

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Keith Matthews, R.PH.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Edgefield, SC
  • NPI 1306356993
  NPD Authorized official

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1114108735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIDGE MEDICAL PLAZA",
            "address_2": "SUITE 101",
            "city": "EDGEFIELD",
            "state": "SC",
            "postal_code": "29824",
            "telephone_number": "803-637-5757",
            "fax_number": "803-637-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGE MEDICAL PLAZA",
            "address_2": "SUITE 101",
            "city": "EDGEFIELD",
            "state": "SC",
            "postal_code": "29824",
            "telephone_number": "803-637-5757",
            "fax_number": "803-637-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "706-869-9799",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "797882",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A & C Taxi LLC
• A Nurse Who Cares LLC
• Amara LLC
• Apsf Seniors Business Group LLP (Apsf Seniore Benefit Services)
• Blocker & Timmerman Drug Co.,Inc.
• Rex Blocker, M.D.
• Latasha Broomfield, MA, LPC, NCC, CACI
• William C. Bruker Jr., M.D.
• Ransom L. Bryan Jr.

• Community/Retail Pharmacy in Edgefield, SC
• Providers in Edgefield, 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 May 2, 2022; 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.