Organization Active NPI

Atlantic Pharmacy Services

  • Specialty Pharmacy
  • Charleston, SC
National Provider Identifier
1174734198
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
50003665 Issued in SC
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4221470OtherSCNCPDP
736656MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Pharmacy Services3 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": "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.

Verify at the official NPI Registry.