Organization Active NPI

McLeskey Todd Pharmacy of Travelers Rest Inc

  • Community/Retail Pharmacy
  • Travelers Rest, SC
National Provider Identifier
1134102460
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50003094 Issued in SC
Legal business name
MCLESKEY TODD PHARMACY OF TRAVELERS REST INC
Practice address
32 South Main Street
Travelers Rest, SC 29690
Phone
(864) 834-4678
Fax
(834) 834-4614
NPI assigned
Nov 21, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Irvin Stack Harmon Jr., RPHNPI 1205819562
Title
Owner
Phone
(864) 834-4678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50003094 SC Primary

Addresses

Primary practice location

32 South Main Street
Travelers Rest, SC 29690

Mailing address

PO Box 487
Travelers Rest, SC 29690-0487
Phone (864) 834-4678

Other identifiers 2

IdentifierTypeStateIssuer
730945MedicaidSC
4212394OtherNABP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134102460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296900487",
            "telephone_number": "864-834-4678",
            "fax_number": "864-834-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SOUTH MAIN STREET",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "29690",
            "telephone_number": "864-834-4678",
            "fax_number": "834-834-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLESKEY TODD PHARMACY OF TRAVELERS REST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_middle_name": "STACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-834-4678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50003094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730945",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4212394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.