NPIMap

Organization Active NPI

Kerr Drug Inc a Delaware Company

Doing business as Kerr Drug 612

  • Community/Retail Pharmacy
  • Charleston, SC
National Provider Identifier
1215049267
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KERR DRUG INC A DELAWARE COMPANY
Doing business as
Kerr Drug 612
Practice address
861 Folly Rd
Charleston, SC 29412-3454
Phone
(843) 795-1818
Fax
(843) 795-0393
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Stacy Vrooman, RPH
Title
Pharmacist Manager
Phone
(843) 795-1818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 3938 SC
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

861 Folly Rd
Charleston, SC 29412-3454

Mailing address

861 Folly Rd
Charleston, SC 29412-3454

Other identifiers 2

IdentifierTypeStateIssuer
739386MedicaidSC
4220846OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • KERR DRUG 612 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kerr Drug23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

861 Folly Rd
Charleston, SC 29412
Phone (843) 795-1818

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215049267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 FOLLY RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123454",
            "telephone_number": "843-795-1818",
            "fax_number": "843-795-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERR DRUG INC A DELAWARE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VROOMAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "843-795-1818",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "3938",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "739386",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4220846",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERR DRUG 612",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2025; 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.