MCP of Sumter, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17096 Issued in SC

Legal business name

MCP OF SUMTER, INC.

Practice address

776 W Liberty St
Sumter, SC 29150-4771

Phone

(803) 773-5605

Fax

(803) 773-5605

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Elvin Holliday, PHARM DNPI 1023315082

Title

Permit Holliday

Phone

(803) 420-6308

Specialties & licenses 1

Addresses

Other names 1

• MEDICAL COURT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Jacob Elvin Holliday, PHARMD

  • Pharmacist
  • Columbia, SC
  • NPI 1023315082
  NPD Authorized official

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154859494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 W LIBERTY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504771",
            "telephone_number": "803-773-5605",
            "fax_number": "803-773-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 W LIBERTY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504771",
            "telephone_number": "803-773-5605",
            "fax_number": "803-773-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCP OF SUMTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ELVIN",
        "authorized_official_title_or_position": "PERMIT HOLLIDAY",
        "authorized_official_telephone_number": "803-420-6308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "17096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL COURT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAL COURT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie McLeod
• Wendy Prescott McLeod, MSP,CCC-SLP
• Loretta M. McMillan, RN
• Carolina Lee McNair, LPC-A
• Antonio McNeil, LMT
• Vidalia McTeer, SLP
• Me Pivot Holdings LLC
• Med-Trans Corporation
• Medcare Ambulance of the Midlands
• Medical Court Pharmacy,Inc.

• Community/Retail Pharmacy in Sumter, SC
• Providers in Sumter, 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 Jul 21, 2022; 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.