Golden Town Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17613 Issued in SC

Legal business name

GOLDEN TOWN PHARMACY, LLC

Practice address

2837 Highway 501 East
Aynor, SC 29511

Phone

(843) 992-6243

NPI assigned

Nov 27, 2017

Last updated

Jul 14, 2026By 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

Johnny Ray CappsNPI 1770845034

Title

Owner

Phone

(843) 358-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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.

• Johnny Ray Capps, RPH

  • Pharmacist
  • Conway, SC
  • NPI 1770845034
  NPD Authorized official
• Katie Fox

  • Pharmacist
  • Conway, SC
  • NPI 1578053971
  NPD (past)

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1376057570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 HIGHWAY 501 E",
            "city": "AYNOR",
            "state": "SC",
            "postal_code": "295113401",
            "telephone_number": "843-358-7777",
            "fax_number": "843-358-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 HIGHWAY 501 EAST",
            "city": "AYNOR",
            "state": "SC",
            "postal_code": "29511",
            "telephone_number": "843-992-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TOWN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-358-7777"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "17613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717613",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doyle Nobles LLC (Fundamentals)
• Doyle Nobles LLC. (Fundamentals of Aynor)
• Eyes on Aynor LLC
• Fritz F Frye, PA-C
• Caroline Gardner
• Carson Graham
• Payton Harajdic
• Joshua Ernest Hardwick, DMD
• Health Care Partners of South Carolina, Inc.
• Hearts N Harmony Home Care LLC

• Community/Retail Pharmacy in Aynor, SC
• Providers in Aynor, 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 Jul 14, 2026; 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.