Kens Thriftee Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8474 Issued in SC

Legal business name

KENS THRIFTEE PHARMACY INC

Doing business as

Kens Thriftee Pharmacy

Practice address

112 E Main St
Walhalla, SC 29691-1925

Phone

(864) 638-9553

Fax

(864) 638-3754

NPI assigned

May 12, 2006

Last updated

Feb 20, 2017By 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

Judson Wright, CPHTNPI 1932573292

Title

Owner, Corp Sec, MGR

Phone

(864) 638-9553

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• KENS THRIFTEE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judson Wright, PHARMD

  • Pharmacist
  • Walhalla, SC
  • NPI 1932573292
  NPD (past) Authorized official
• Ron Calvert, R.PH.

  • Pharmacist
  • Walhalla, SC
  • NPI 1285988402
  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1396796769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296910058",
            "telephone_number": "864-638-9553",
            "fax_number": "864-638-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E MAIN ST",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296911925",
            "telephone_number": "864-638-9553",
            "fax_number": "864-638-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENS THRIFTEE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JUDSON",
        "authorized_official_title_or_position": "OWNER, CORP SEC, MGR",
        "authorized_official_telephone_number": "864-638-9553",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "8474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708751",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089918",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENS THRIFTEE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonya Hopkins, COTA/L
• Dale A Hullander, PH.D
• Elizabeth Folmar Jones, D.M.D.
• Changjing Ju
• Marietta Kay
• Thomas C. Kickham, D.O.
• Maria Kraayeveld
• Dana E Kuhl, OD
• Lake Keowee Dental Esthetics
• Lakeview Assisted Living, Inc.

• Community/Retail Pharmacy in Walhalla, SC
• Providers in Walhalla, 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 Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.