NPIMap

Organization Active NPI

Lexington Pharmacy LLC

  • Community/Retail Pharmacy
  • Lexington, SC
National Provider Identifier
1366065468
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LEXINGTON PHARMACY LLC
Practice address
104 Scarborough Dr Ste C
Lexington, SC 29072-1922
Phone
(803) 490-0022
Fax
(803) 490-0029
NPI assigned
May 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Dr. Dhrutiben P Patel, PHARMDNPI 1437772530
Title
Owner/Pharmacist in Charge
Phone
(806) 831-7107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

104 Scarborough Dr Ste C
Lexington, SC 29072-1922

Mailing address

104 Scarborough Dr Ste C
Lexington, SC 29072-1922
Phone (803) 490-0022

Other identifiers 1

IdentifierTypeStateIssuer
7Z1101MedicaidSC

Other names 1

  • Lexington Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

104 Scarborough Dr
Ste C
Lexington, SC 29072
Phone (803) 490-0022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1366065468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SCARBOROUGH DR STE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290721922",
            "telephone_number": "803-490-0022",
            "fax_number": "803-490-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SCARBOROUGH DR STE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290721922",
            "telephone_number": "803-490-0022",
            "fax_number": "803-490-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHRUTIBEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "806-831-7107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7Z1101",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lexington Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.