Palmetto Family Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10788 Issued in SC

Legal business name

PALMETTO FAMILY PHARMACY

Doing business as

Palmetto Family Pharmacy

Practice address

1030 Oakland Ave Ste 101
Rock Hill, SC 29732-3074

Phone

(803) 980-7272

Fax

(803) 980-6969

NPI assigned

Jan 29, 2010

Last updated

Apr 26, 2022By 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

Brandon Hall

Title

Co-Owner

Phone

(803) 981-4957

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Palmetto Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1346571460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 OAKLAND AVE",
            "address_2": "SUITE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323035",
            "telephone_number": "803-980-7272",
            "fax_number": "803-980-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 OAKLAND AVE STE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323074",
            "telephone_number": "803-980-7272",
            "fax_number": "803-980-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "803-981-4957"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "10788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123656",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710788",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palmetto Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palmetto Cardiology of York County, LLC.
• Palmetto Counseling & Consulting Services, LLC
• Palmetto Counseling & Consulting Services, LLC
• Palmetto Dental PA
• Palmetto Eyecare Associates P a
• Palmetto Meals
• Palmetto Oxygen, LLC
• Palmetto Pediatrics
• Palmetto Pharmacy Online Inc (Palmetto Pharmacy Online)
• Palmetto Physical Medicine

• Community/Retail Pharmacy in Rock Hill, SC
• Providers in Rock Hill, 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 Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.