Active NPI
Congress Street Pharmacy
- Pharmacy
- York, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- CONGRESS STREET PHARMACY
- Practice address
- 12 Congress St N Ste a
York, SC 29745-1529 - Phone
- (803) 818-4116
- NPI assigned
- Jul 16, 2021
- Last updated
- Jul 16, 2021
- 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
- William Dunlap, RPH
- Title
- Vice President
- Phone
- (803) 984-1560
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
12 Congress St N Ste a
York, SC 29745-1529
Mailing address
12 Congress St N Ste a
York, SC 29745-1529
Phone (803) 818-4116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220127001646 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0840682654 | Practice locations: York, SC |
National Provider Directory
National Provider Directory- Tax ID family
- Congress Street Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Congress Street Pharmacy LTC
- Long Term Care Pharmacy
- York, SC
- NPI 1033896063
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Rock Hill, SC
- NPI 1073867362
-
- Pharmacist
- York, SC
- NPI 1821370313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626393600000",
"number": "1194397216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CONGRESS ST N STE A",
"city": "YORK",
"state": "SC",
"postal_code": "297451529",
"telephone_number": "803-818-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CONGRESS ST N STE A",
"city": "YORK",
"state": "SC",
"postal_code": "297451529",
"telephone_number": "803-818-4116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONGRESS STREET PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-16",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A",
"authorized_official_last_name": "DUNLAP",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "803-984-1560",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, SC
- Kassidy Childers, RN
- Kelly Jo Childers, RN
- Kaitlyn Brooke Coe, RN
- Comfort Healthcare, LLC
- Congress Street Pharmacy (Congress Street Pharmacy LTC)
- Contour Family Chiropractic LLC (Contour Chiropractic)
- Cherri Melissa Crisp, LPC
- Henry F. Crotwell, MD
- Jessica Merritt Daniel, ED. S
- Danielle S. Ezell, DMD, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.