The Medicine Shoppe #1425

Primary specialty

PharmacistTaxonomy code 183500000X

License

7462 Issued in SC

Legal business name

THE MEDICINE SHOPPE #1425

Practice address

101 Hwy 301 South
Dillon, SC 29536-3447

Phone

(843) 841-9600

Fax

(843) 774-3860

NPI assigned

Feb 21, 2007

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

THE MEDICINE SHOPPE #1425As reported in NPPES

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

Authorized official

Name

Ms. Lisa Creech Douglas, RPH

Title

Ceo

Phone

(843) 841-9600

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Creech Douglas Inc Other name

Part of

The Medicine Shoppe 1425

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1386789915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HWY 301 SOUTH",
            "address_2": "PO BOX 867",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363447",
            "telephone_number": "843-841-9600",
            "fax_number": "843-774-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HWY 301 SOUTH",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295363447",
            "telephone_number": "843-841-9600",
            "fax_number": "843-774-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICINE SHOPPE #1425",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MEDICINE SHOPPE #1425",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CREECH DOUGLAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-841-9600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "7462",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50003431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4219538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4219538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creech Douglas Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Velma Millicent Suggs
• Surgery Center of Dillon PA
• Michael J Sutton, DO
• Symphony Emergency Physicians, LLC
• Talk Teach Thrive Therapy Services LLC
• Therapeutic Intervention Services, Inc.
• Mary Rita Thierry, NP
• Tynia S Thomas, MS
• Thompson Pedorthics LLC (Premier Foot Care)
• Wesley Lamont Thompson

• Pharmacist in Dillon, SC
• Providers in Dillon, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.