Tracys Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2571 Issued in SC

Legal business name

TRACYS PHARMACY

Practice address

637 Padgett Loop
Walterboro, SC 29488-4149

Phone

(843) 549-7716

Fax

(843) 549-6063

NPI assigned

Feb 19, 2007

Last updated

Sep 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph Tracy

Title

Owner

Phone

(843) 549-7716

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1235273475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 PADGETT LOOP",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294884149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 PADGETT LOOP",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294884149",
            "telephone_number": "843-549-7716",
            "fax_number": "843-549-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACYS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-549-7716"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "2571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700915",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4206997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charotte Murrow Taylor, LPC/S, NCC
• Nancy S Thomas, MS
• Robert L Thomas, MD
• Titan Hospitalist Group,LLC
• Bryan D Tompkins, DO
• Trent Cannon & Riddick Ackerman III (Walterboro Ob/Gyn)
• Trident Pain Center LLC
• Trident Pain Center P a
• Whitney Lynn Troy
• True Beginnings LLC

• Community/Retail Pharmacy in Walterboro, SC
• Providers in Walterboro, 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 Sep 13, 2007; 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.