Cole-McGill Enterprises

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

613090 Issued in SC

Legal business name

COLE-MCGILL ENTERPRISES

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

Feb 12, 2007

Last updated

Aug 22, 2008By 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

Mr. Walter A. Toole, R.PH.NPI 1740312255

Title

Secretary-Treasurer

Phone

(864) 843-9207

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Liberty Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

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.

• Cole-McGill Enterprises Inc

  dba Liberty Family Pharmacy

  • Community/Retail Pharmacy
  • Liberty, SC
  • NPI 1306950381
  NPD tax ID

Locations

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.

• Walter A Toole, PHARMACIST

  • Pharmacist
  • Liberty, SC
  • NPI 1740312255
  NPD Authorized official
• Ashley Ricker Shuford, PHARM.D.

  • Pharmacist
  • Liberty, SC
  • NPI 1497155766
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1336281161",
    "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",
            "telephone_number": "864-843-9207",
            "fax_number": "864-843-9208"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "TOOLE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "864-843-9207",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "613090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "613090",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cannon Memorial Hospital (AnMed Primary Care-Liberty)
• Cannon Memorial Hospital (AnMed Primary Care - Liberty)
• Lynn Melton Capobianco, PHARMD
• Sara Lynn Carlstrom, LISW-CP
• Lori R Carnsew, MD
• Cole-McGill Enterprises Inc (Liberty Family Pharmacy)
• Communikids,LLC
• April Dubose, LPC
• Maria Floresguerra, PHARMD
• Sandra Sleeman Franklin, F.N.P.

• Durable Medical Equipment & Medical Supplies in Liberty, SC
• Providers in Liberty, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.