Rock Hill Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10527 Issued in SC

Legal business name

ROCK HILL PHARMACY

Practice address

1420 Ebenezer Rd
Suite 105
Rock Hill, SC 29732-2743

Phone

(803) 324-1875

Fax

(803) 329-7795

NPI assigned

Sep 14, 2009

Last updated

Jan 8, 2010By 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

Mr. Ken Apelu Fetuao

Title

Owner

Phone

(803) 324-1875

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1376876029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 EBENEZER RD",
            "address_2": "SUITE 105",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322743",
            "telephone_number": "803-324-1875",
            "fax_number": "803-329-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 EBENEZER RD",
            "address_2": "SUITE 105",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322743",
            "telephone_number": "803-324-1875",
            "fax_number": "803-329-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK HILL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "FETUAO",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "APELU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-324-1875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "10527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rock Hill Eye Clinic, PA (Rock Hill Optical Services)
• Rock Hill Gynecological and Obstetrical Associates, PA (Fort Mill Gynecological and Obstetrical Associates)
• Rock Hill Healthcare LLC (Rock Hill Post Acute Care Center)
• Rock Hill Medserve LLC
• Rock Hill Modern Dentistry, PC (Rock Hill Modern Dentistry)
• Rock Hill Radiology Associates
• Rock Hill School District Three
• Rock Hill Senior Solutions LLC (Acti-Kare Responsive in-Home Care)
• Rock Hill Sleep Center, LLC
• Rock Hill Surgery Center, LLC (Carolina Surgical Center)

• 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 Jan 8, 2010; 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.