Delta Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1991 Issued in SC

Legal business name

DELTA PHARMACY INC

Practice address

402 E Main St
Moncks Corner, SC 29461-3616

Phone

(843) 761-5255

Fax

(843) 899-4970

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Sherry Parsons

Title

Office Manager

Phone

(843) 761-5255

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Delta Pharmacy, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Tax ID family

Delta Pharmacy Inc2 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.

• Delta Pharmacy Inc

  • Long Term Care Pharmacy
  • Moncks Corner, SC
  • NPI 1710745450
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Delta of Litchfield

  • Community/Retail Pharmacy
  • Pawleys Island, SC
  • NPI 1083400907

  Member Of

  NPD member

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1275596249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613616",
            "telephone_number": "843-761-5255",
            "fax_number": "843-899-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613616",
            "telephone_number": "843-761-5255",
            "fax_number": "843-899-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-761-5255"
    },
    "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": "1991",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719914",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Pharmacy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle De Silva
• Pamela Dean, RN
• Robin Chiffon Dean, LMT
• Charlene Dejoseph, COTA/L
• Valerie M. Del Torto, RN
• Delta Pharmacy Inc
• McGregor T. Dennis Jr., D.M.D.
• Rebecca Denny
• Dental Professionals of South Carolina, P.C.
• Yvonne Dingle-Rogers

• Community/Retail Pharmacy in Moncks Corner, SC
• Providers in Moncks Corner, 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 Oct 22, 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.