Active NPI
Pee Dee Pharmacy Inc
Doing business as Florence Pharmacy
- Community/Retail Pharmacy
- Florence, SC
National Provider Identifier
1386785996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 729695 | Medicaid | SC |
Other names 1
- Florence Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.