Santee Drug Center, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17095 Issued in SC

Legal business name

SANTEE DRUG CENTER, LLC

Doing business as

Santee Drug Center

Practice address

3931-D Byrnes Drive
Saint Stephen, SC 29479-0910

Phone

(843) 567-3291

Fax

(843) 567-5212

NPI assigned

Jun 20, 2006

Last updated

Jan 26, 2021By 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

Dr. James V Mathis Jr., PHARMDNPI 1245641703

Title

Owner

Phone

(803) 435-2511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Santee Drug Center Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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.

• James Victor Mathis Jr., PHARM.D.

  • Pharmacist
  • Manning, SC
  • NPI 1245641703
  NPD Authorized official
• Alex Brammer, PHARMD

  • Pharmacist
  • Summerton, SC
  • NPI 1073966032
  NPD
• Frances Belser, PHARMD

  • Pharmacist
  • Saint Stephen, SC
  • NPI 1871962811
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1306882428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "SAINT STEPHEN",
            "state": "SC",
            "postal_code": "294790429",
            "telephone_number": "843-567-3291",
            "fax_number": "843-567-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931-D BYRNES DRIVE",
            "city": "SAINT STEPHEN",
            "state": "SC",
            "postal_code": "294790910",
            "telephone_number": "843-567-3291",
            "fax_number": "843-567-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTEE DRUG CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-435-2511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "17095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71709D",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santee Drug Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• St Stephen Family Dentistry

• Community/Retail Pharmacy in Saint Stephen, SC
• Providers in Saint Stephen, 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 Jan 26, 2021; 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.