Skrip Shoppe 2 LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

16455 Issued in SC

Legal business name

SKRIP SHOPPE 2 LLC

Doing business as

Skrip Shoppe Compounding Pharmacy 2

Practice address

3907 Edmund Hwy Ste a
West Columbia, SC 29170-1944

Phone

(803) 764-2408

Fax

(803) 888-6123

NPI assigned

Apr 6, 2016

Last updated

Apr 12, 2016By 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

Joseph Blizzard

Title

Owner

Phone

(803) 764-2408

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Skrip Shoppe Compounding Pharmacy 2 Doing business as

Locations

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1316301393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 EDMUND HWY STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291701944",
            "telephone_number": "803-764-2408",
            "fax_number": "803-888-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 EDMUND HWY STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291701944",
            "telephone_number": "803-764-2408",
            "fax_number": "803-888-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKRIP SHOPPE 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "BLIZZARD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-764-2408"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "16455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skrip Shoppe Compounding Pharmacy 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick S. Sipe, MD
• Beth Michelle Siroty-Smith, M.D.
• Sizewise Rentals LLC
• Valerie A Skinner, MD
• Carlie Dee Skipper, PA
• Heather J Slaton, CRNA
• Sleepmanage LLC
• Sleepmed Inc.
• Sleeprx, Inc. (SleepRx Solutions)
• David Sloan, ED.S., LPC

• Compounding Pharmacy in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Compounding Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.