Eureka Drug Stores, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0717 Issued in SC

Legal business name

EUREKA DRUG STORES, INC

Doing business as

Scottie Discount Drugs

Practice address

227 E Main St
Bennettsville, SC 29512-3105

Phone

(843) 479-7251

Fax

(843) 479-3052

NPI assigned

Jan 10, 2007

Last updated

Aug 22, 2020By 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

Elizabeth M Ross

Title

Ceo

Phone

(864) 984-3541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Scottie Discount Drugs Doing business as

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336298983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E MAIN ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295123105",
            "telephone_number": "843-479-7251",
            "fax_number": "843-479-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E MAIN ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295123105",
            "telephone_number": "843-479-7251",
            "fax_number": "843-479-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUREKA DRUG STORES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-984-3541"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "0717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "707175",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottie Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.