NPIMap

Organization Active NPI

Holly Street Drugs LLC

Doing business as Holly Hill Pharmacy

  • Community/Retail Pharmacy
  • Holly Hill, SC
National Provider Identifier
1417356320
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15323 Issued in SC
Legal business name
HOLLY STREET DRUGS LLC
Doing business as
Holly Hill Pharmacy
Practice address
904 Holly St
Holly Hill, SC 29059-0370
Phone
(803) 496-0007
Fax
(803) 496-0015
NPI assigned
Aug 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Rachel Osteen
Title
Owner, President, Pic, Ao
Phone
(803) 496-0007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 15323 SC Primary

Addresses

Primary practice location

904 Holly St
Holly Hill, SC 29059-0370

Mailing address

PO Box 370
Holly Hill, SC 29059-0370
Phone (803) 496-0007

Other identifiers 2

IdentifierTypeStateIssuer
2147870OtherPK
7153235MedicaidSC

Other names 1

  • Holly Hill Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Holly Hill Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1417356320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290590370",
            "telephone_number": "803-496-0007",
            "fax_number": "803-496-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 HOLLY ST",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "290590370",
            "telephone_number": "803-496-0007",
            "fax_number": "803-496-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY STREET DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "OSTEEN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, PIC, AO",
        "authorized_official_telephone_number": "803-496-0007"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "15323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147870",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7153235",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holly Hill, SC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.