NPIMap

Organization Active NPI

Preferred Care Pharmaceutical Services Inc

  • Long Term Care Pharmacy
  • Hollywood, SC
National Provider Identifier
1316004633
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
50005902 Issued in SC
Legal business name
PREFERRED CARE PHARMACEUTICAL SERVICES INC
Practice address
4794 A Hwy 162
Hollywood, SC 29449
Phone
(843) 769-6522
Fax
(843) 769-5728
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Mary Keisler
Title
President
Phone
(843) 769-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 50005902 SC Primary

Addresses

Primary practice location

4794 A Hwy 162
Hollywood, SC 29449

Mailing address

4794 A Hwy 162
Hollywood, SC 29449
Phone (843) 769-6522

Other identifiers 2

IdentifierTypeStateIssuer
735696MedicaidSC
4219780OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PREFERRED CARE PHARMACEUTICAL SVCS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Preferred Care Pharmaceutical Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1316004633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4794 A HWY 162",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "29449",
            "telephone_number": "843-769-6522",
            "fax_number": "843-769-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4794 A HWY 162",
            "city": "HOLLYWOOD",
            "state": "SC",
            "postal_code": "29449",
            "telephone_number": "843-769-6522",
            "fax_number": "843-769-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CARE PHARMACEUTICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "KEISLER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-769-6522"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "50005902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "735696",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4219780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREFERRED CARE PHARMACEUTICAL SVCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.