Active NPI
Hannas Discount Pharmacy
- Parenteral & Enteral Nutrition Supplies (DME)
- Estill, SC
National Provider Identifier
1295857456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- DME725
- Legal business name
- HANNAS DISCOUNT PHARMACY
- Practice address
- 26 East Railroad Ave
Estill, SC 29918-1088 - Phone
- (803) 625-4185
- Fax
- (803) 625-2443
- NPI assigned
- Apr 6, 2007
- Last updated
- Nov 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Michael Hanna Sr., BS RPH
- Title
- RPH Owner
- Phone
- (803) 625-4185
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | DME725 | SC | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | DME725 | SC |
Addresses
Primary practice location
26 East Railroad Ave
Estill, SC 29918-1088
Mailing address
PO Box 1088
Box 1088
Estill, SC 29918-1088
Phone (803) 625-4185
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50002223 | Other | SC | PHARMACY PERMIT |
| DME725 | Medicaid | SC | |
| 4215617 | Medicaid | SC | |
| 6617 | Other | SC | RPH LISCENSE # |
Other names 1
- HANNAS MEDICAL EQUIPMENT
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Estill, SC
- NPI 1548380017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322438400000",
"number": "1295857456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1088",
"address_2": "BOX 1088",
"city": "ESTILL",
"state": "SC",
"postal_code": "299181088",
"telephone_number": "803-625-4185",
"fax_number": "803-625-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 EAST RAILROAD AVE",
"city": "ESTILL",
"state": "SC",
"postal_code": "299181088",
"telephone_number": "803-625-4185",
"fax_number": "803-625-2443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANNAS DISCOUNT PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2011-11-28",
"status": "A",
"authorized_official_last_name": "HANNA",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "RPH OWNER",
"authorized_official_telephone_number": "803-625-4185",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "BS RPH"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "SC",
"license": "DME725",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "SC",
"license": "DME725",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY PERMIT",
"identifier": "50002223",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME725",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4215617",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LISCENSE #",
"identifier": "6617",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HANNAS MEDICAL EQUIPMENT",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Estill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.