Organization Active NPI

Cole-McGill Enterprises Inc

Doing business as Liberty Family Pharmacy

  • Community/Retail Pharmacy
  • Liberty, SC
National Provider Identifier
1306950381
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4400 Issued in SC
Legal business name
COLE-MCGILL ENTERPRISES INC
Doing business as
Liberty Family Pharmacy
Practice address
115 W Main St
Liberty, SC 29657-1140
Phone
(864) 843-9207
Fax
(864) 843-9208
NPI assigned
Aug 18, 2006
Last updated
Jun 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Walter TooleNPI 1740312255
Title
Sec
Phone
(864) 843-9207

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)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 4400 SC Primary

Addresses

Primary practice location

115 W Main St
Liberty, SC 29657-1140

Mailing address

PO Box 63
Liberty, SC 29657-0063

Other identifiers 2

IdentifierTypeStateIssuer
744007MedicaidSC
2088624OtherPK

Other names 1

  • LIBERTY FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cole-McGill Enterprises2 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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1306950381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "LIBERTY",
            "state": "SC",
            "postal_code": "296570063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MAIN ST",
            "city": "LIBERTY",
            "state": "SC",
            "postal_code": "296571140",
            "telephone_number": "864-843-9207",
            "fax_number": "864-843-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE-MCGILL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "TOOLE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "864-843-9207"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "4400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744007",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIBERTY FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.