Nottap Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6358 Issued in SC

Legal business name

NOTTAP INC

Practice address

115 N Granard St
Gaffney, SC 29341-2342

Phone

(864) 488-3036

Fax

(864) 488-0316

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Bradford Bailey

Title

Owner/Pharm D.

Phone

(864) 488-3036

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BUFORD ST DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Buford St Drug Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Buford St Drug Store

  • Community/Retail Pharmacy
  • Gaffney, SC
  • NPI 1881615854
  NPD tax ID

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1205914629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N GRANARD ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412342",
            "telephone_number": "864-488-3036",
            "fax_number": "864-488-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N GRANARD ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412342",
            "telephone_number": "864-488-3036",
            "fax_number": "864-488-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTTAP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER/PHARM D.",
        "authorized_official_telephone_number": "864-488-3036",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "6358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092104",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763581",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUFORD ST DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BUFORD ST DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Nelson, RN
• Josh Nelson, ATC
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• Christy Nicholson
• Davina Demerritt Norman, FNP
• Nottap, Inc.
• Novant Medical Group Inc
• Novant Medical Group Inc
• Novant Medical Group Inc
• Novant Medical Group Inc

• Community/Retail Pharmacy in Gaffney, SC
• Providers in Gaffney, 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 Aug 9, 2024; 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.