Sup-RX Pharmacy #53

Primary specialty

PharmacyTaxonomy code 333600000X

License

50-000803 Issued in SC

Legal business name

SUP-RX PHARMACY #53

Practice address

401 Pearl St
Darlington, SC 29532-3814

Phone

(843) 393-2552

Fax

(843) 393-9811

NPI assigned

Jun 9, 2005

Last updated

Mar 7, 2023By 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

Ricky McLeod

Title

Owner

Phone

(803) 775-1334

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1417951252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PEARL ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323814",
            "telephone_number": "843-393-2552",
            "fax_number": "843-393-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PEARL ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323814",
            "telephone_number": "843-393-2552",
            "fax_number": "843-393-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUP-RX PHARMACY #53",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-775-1334"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50-000803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4203751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCDP NUMBER",
            "identifier": "4203751",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708033",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittainy Starling, RN
• State of South Carolina (SC Dhec)
• Kia Antoinnette Stevenson
• Steven H Suess
• Karyn Poston Suggs, LPC
• Surroundance Medical Solutions
• T & B Inc (Darlington Family Pharmacy)
• Ashley Tallon, APRN
• That Is Enough
• That Is Enough

• Pharmacy in Darlington, SC
• Providers in Darlington, SC by specialty
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.