Organization Active NPI

Propp Drugs,Inc.

  • Community/Retail Pharmacy
  • Anderson, SC
National Provider Identifier
1154400752
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
005481 Issued in SC
Legal business name
PROPP DRUGS,INC.
Practice address
1529 N Fant St
Anderson, SC 29621-4707
Phone
(864) 226-8383
Fax
(864) 226-8355
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Mr. William Lee Propp
Title
Pharmacist/Owner
Phone
(864) 226-8383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 005481 SC Primary
Compounding Pharmacy 3336C0004X 005481 SC

Addresses

Primary practice location

1529 N Fant St
Anderson, SC 29621-4707

Mailing address

1529 N Fant St
Anderson, SC 29621-4707
Phone (864) 226-8383

Other identifiers 4

IdentifierTypeStateIssuer
726863MedicaidSC
0592080001OtherPTAN
Q409550001OtherSCPTAN/FLU
4202230OtherSCNABP

Other names 1

  • Propp Drugs Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121015000441 SC Part B Supplier - Mass Immunization (Roster Biller Only) 4385763028 Practice locations: Anderson, SC

National Provider Directory

National Provider Directory

Locations

1529 N Fant St
Anderson, SC 29621
Phone (864) 226-8383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1154400752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214707",
            "telephone_number": "864-226-8383",
            "fax_number": "864-226-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214707",
            "telephone_number": "864-226-8383",
            "fax_number": "864-226-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPP DRUGS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "PROPP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "864-226-8383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "005481",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "005481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726863",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0592080001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN/FLU",
            "identifier": "Q409550001",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4202230",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Propp Drugs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.