Organization Active NPI

Pee Dee Pharmacy Inc

Doing business as Florence Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
National Provider Identifier
1386785996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PEE DEE PHARMACY INC
Doing business as
Florence Pharmacy
Practice address
123 S Dargan St
Florence, SC 29506-2533
Phone
(843) 669-6389
Fax
(843) 662-5041
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Raymond F Humphries Jr., R. PH.
Title
Pharmacist
Phone
(843) 669-6389

Specialties & licenses 1

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

Addresses

Primary practice location

123 S Dargan St
Florence, SC 29506-2533

Mailing address

136 Oak St
Darlington, SC 29532-2627
Phone (843) 393-0507

Other identifiers 1

IdentifierTypeStateIssuer
729695MedicaidSC

Other names 1

  • Florence Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

123 S Dargan St
Florence, SC 29506
Phone (843) 669-6389

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386785996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 OAK ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295322627",
            "telephone_number": "843-393-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S DARGAN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062533",
            "telephone_number": "843-669-6389",
            "fax_number": "843-662-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "843-669-6389",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729695",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.