Active NPI
Ehrhardt Pharmacy LLC
- Long Term Care Pharmacy
- Ehrhardt, SC
National Provider Identifier
1407618457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- EHRHARDT PHARMACY LLC
- Practice address
- 12930 Broxton Bridge Road
Ehrhardt, SC 29081 - Phone
- (803) 267-2121
- Fax
- (803) 267-2124
- NPI assigned
- Jan 25, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Donna Grantham Avant
- Title
- Owner/RPH
- Phone
- (803) 267-2121
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12930 Broxton Bridge Road
Ehrhardt, SC 29081
Mailing address
PO Box 309
Ehrhardt, SC 29081-0309
Phone (803) 267-2121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2024.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1407618457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "EHRHARDT",
"state": "SC",
"postal_code": "290810309",
"telephone_number": "803-267-2121",
"fax_number": "803-267-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12930 BROXTON BRIDGE ROAD",
"city": "EHRHARDT",
"state": "SC",
"postal_code": "29081",
"telephone_number": "803-267-2121",
"fax_number": "803-267-2124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EHRHARDT PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "AVANT",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "GRANTHAM",
"authorized_official_title_or_position": "OWNER/RPH",
"authorized_official_telephone_number": "803-267-2121"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ehrhardt, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.