NPIMap

Organization Active NPI

Medical Arts Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Hartsville, SC
National Provider Identifier
1124295365
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
50000211 Issued in SC
Legal business name
MEDICAL ARTS PHARMACY INC
Practice address
206 S 2ND St
Hartsville, SC 29550-4304
Phone
(843) 332-5193
Fax
(843) 383-0545
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Pat G Cassidy
Title
Office Manager
Phone
(843) 332-5193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50000211 SC Primary

Addresses

Primary practice location

206 S 2ND St
Hartsville, SC 29550-4304

Mailing address

206 S 2ND St
Hartsville, SC 29550-4304
Phone (843) 332-5193

Other identifiers 1

IdentifierTypeStateIssuer
1568493203MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Medical Arts Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1124295365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S 2ND ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504304",
            "telephone_number": "843-332-5193",
            "fax_number": "843-383-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S 2ND ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504304",
            "telephone_number": "843-332-5193",
            "fax_number": "843-383-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-332-5193"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50000211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568493203",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.