Active NPI
Atlantic Pharmacy Services
- Specialty Pharmacy
- Charleston, SC
National Provider Identifier
1174734198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- 50003665
- Legal business name
- ATLANTIC PHARMACY SERVICES
- Practice address
- 2090 Executive Hall Rd
Suite 100
Charleston, SC 29407-8709 - Phone
- (843) 554-4000
- Fax
- (843) 769-6849
- NPI assigned
- May 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara J Williams
- Title
- President
- Phone
- (843) 554-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | 50003665 | SC | Primary |
Addresses
Primary practice location
2090 Executive Hall Rd
Suite 100
Charleston, SC 29407-8709
Mailing address
2090 Executive Hall Rd
Suite 100
Charleston, SC 29407-8709
Phone (843) 554-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4221470 | Other | SC | NCPDP |
| 736656 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Atlantic Pharmacy Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Walterboro, SC
- NPI 1679623169
-
- Oxygen Equipment & Supplies (DME)
- Charleston, SC
- NPI 1275683740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1174734198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 EXECUTIVE HALL RD",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294078709",
"telephone_number": "843-554-4000",
"fax_number": "843-769-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 EXECUTIVE HALL RD",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294078709",
"telephone_number": "843-554-4000",
"fax_number": "843-769-6849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC PHARMACY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-554-4000"
},
"taxonomies": [
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "SC",
"license": "50003665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "4221470",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "736656",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.