Organization Active NPI

Ehrhardt Pharmacy LLC

  • Long Term Care Pharmacy
  • Ehrhardt, SC
National Provider Identifier
1407618457
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.