Organization Active NPI

Clinkscales Drugs Inc

  • Community/Retail Pharmacy
  • Belton, SC
National Provider Identifier
1346542396
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6568 Issued in SC
Legal business name
CLINKSCALES DRUGS INC
Practice address
727 Anderson St Ste C
Belton, SC 29627-2100
Phone
(864) 338-8217
Fax
(864) 338-6935
NPI assigned
Nov 24, 2010
Last updated
May 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Mr. Eugene Leslie Clinkscales
Title
Owner/President
Phone
(864) 338-8217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 6568 SC Primary

Addresses

Primary practice location

727 Anderson St Ste C
Belton, SC 29627-2100

Mailing address

727 Anderson St Ste C
Belton, SC 29627-2100
Phone (864) 338-8217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110429000315 SC Part B Supplier - Mass Immunization (Roster Biller Only) 2264553023 Practice locations: Belton, SC

National Provider Directory

National Provider Directory

Locations

727 Anderson St
Ste C
Belton, SC 29627
Phone (864) 338-8217

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1346542396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 ANDERSON ST STE C",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "296272100",
            "telephone_number": "864-338-8217",
            "fax_number": "864-338-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 ANDERSON ST STE C",
            "city": "BELTON",
            "state": "SC",
            "postal_code": "296272100",
            "telephone_number": "864-338-8217",
            "fax_number": "864-338-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINKSCALES DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "CLINKSCALES",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "864-338-8217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "6568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.