NPIMap

Organization Active NPI

Longs Drugstores of SC Inc

Doing business as Longs Millwood Drugs

  • Community/Retail Pharmacy
  • Columbia, SC
National Provider Identifier
1316030190
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11841 Issued in NC
Legal business name
LONGS DRUGSTORES OF SC INC
Doing business as
Longs Millwood Drugs
Practice address
2801 Millwood Ave
Columbia, SC 29205-1257
Phone
(803) 256-7481
Fax
(803) 748-8602
NPI assigned
Oct 2, 2006
Last updated
Dec 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Marshall Frost, BS
Title
Director of Business Dev
Phone
(404) 583-6945

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 11841 NC Primary
Compounding Pharmacy 3336C0004X 15058 SC

Addresses

Primary practice location

2801 Millwood Ave
Columbia, SC 29205-1257

Mailing address

PO Box 602684
Charlotte, NC 28260-2684
Phone (803) 256-7481

Other identifiers 2

IdentifierTypeStateIssuer
729638MedicaidSC
2090219OtherPK

Other names 1

  • LONGS MILLWOOD DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614001381 SC Part B Supplier - Mass Immunization (Roster Biller Only) 6103800768 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rock Hill, SC; Greenville, SC; Charleston, SC

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1316030190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602684",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602684",
            "telephone_number": "803-256-7481",
            "fax_number": "803-748-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MILLWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051257",
            "telephone_number": "803-256-7481",
            "fax_number": "803-748-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGS DRUGSTORES OF SC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEV",
        "authorized_official_telephone_number": "404-583-6945",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11841",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "15058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729638",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONGS MILLWOOD DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.