Active NPI
Med-Center Pharmacy & Medical Supply LLC
- Community/Retail Pharmacy
- Darlington, SC
National Provider Identifier
1376586750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 3001
- Legal business name
- MED-CENTER PHARMACY & MEDICAL SUPPLY LLC
- Practice address
- 209 Russell St
Darlington, SC 29532-3311 - Phone
- (843) 398-7015
- Fax
- (843) 398-7017
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Dennis, RPH
- Title
- Pharmacy Manager
- Phone
- (843) 398-7015
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 3001 | SC | Primary |
Addresses
Primary practice location
209 Russell St
Darlington, SC 29532-3311
Mailing address
209 Russell St
Darlington, SC 29532-3311
Phone (843) 398-7015
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2090640 | Other | PK | |
| 730013 | Medicaid | SC |
Other names 1
- MEDICAL CENTER PHARMACY AND MEDICAL SUPPLY
National Provider Directory
National Provider Directory- Tax ID family
- Med Center LTC Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Darlington, SC
- NPI 1578506853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471564800000",
"number": "1376586750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 RUSSELL ST",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295323311",
"telephone_number": "843-398-7015",
"fax_number": "843-398-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 RUSSELL ST",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295323311",
"telephone_number": "843-398-7015",
"fax_number": "843-398-7017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-CENTER PHARMACY & MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-14",
"last_updated": "2016-08-19",
"status": "A",
"authorized_official_last_name": "DENNIS",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "843-398-7015",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "3001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2090640",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "730013",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDICAL CENTER PHARMACY AND MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Darlington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.