NPIMap

Organization Active NPI

Medical Arts Pharmacy of Hartsville

Doing business as Nursing Home Dispensary

  • Long Term Care Pharmacy
  • Hartsville, SC
National Provider Identifier
1235289562
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2044 Issued in SC
Legal business name
MEDICAL ARTS PHARMACY OF HARTSVILLE
Doing business as
Nursing Home Dispensary
Practice address
212 W Carolina Ave
Hartsville, SC 29550-4520
Phone
(843) 332-7529
Fax
(843) 332-2589
NPI assigned
Jan 11, 2007
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Paul Rast
Title
Secre and Tres
Phone
(843) 332-7529

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 2044 SC Primary

Addresses

Primary practice location

212 W Carolina Ave
Hartsville, SC 29550-4520

Mailing address

212 W Carolina Ave
Hartsville, SC 29550-4520
Phone (843) 332-7529

Other identifiers 2

IdentifierTypeStateIssuer
2089701OtherPK
702116MedicaidSC

Other names 1

  • NURSING HOME DISPENSARY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Arts Pharmacy3 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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1235289562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504520",
            "telephone_number": "843-332-7529",
            "fax_number": "843-332-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504520",
            "telephone_number": "843-332-7529",
            "fax_number": "843-332-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PHARMACY OF HARTSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "RAST",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SECRE AND TRES",
        "authorized_official_telephone_number": "843-332-7529"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "2044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089701",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702116",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NURSING HOME DISPENSARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.