NPIMap

Organization Active NPI

Family Pharmacy at GMH

  • Pharmacy
  • Georgetown, SC
National Provider Identifier
1255634069
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
11276 Issued in SC
Legal business name
FAMILY PHARMACY AT GMH
Practice address
606 Black River Rd
Georgetown, SC 29440-3304
Phone
(843) 520-8550
NPI assigned
Dec 16, 2010
Last updated
May 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
GEORGETOWN MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Mrs. Gayle Resetar
Title
Cheif Operations Officer
Phone
(843) 652-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 11276 SC Primary

Addresses

Primary practice location

606 Black River Rd
Georgetown, SC 29440-3304

Mailing address

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 520-8550

National Provider Directory

National Provider Directory
Tax ID family
Georgetown Memorial Hos5 organizations share this tax ID, including this one
Part of
Georgetown Memorial Hos

Other organizations with this tax ID 4

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": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1255634069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BLACK RIVER RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403304",
            "telephone_number": "843-520-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BLACK RIVER RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403304",
            "telephone_number": "843-520-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY AT GMH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGETOWN MEMORIAL HOSPITAL",
        "enumeration_date": "2010-12-16",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "RESETAR",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "CHEIF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "843-652-1002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "11276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.