Active NPI
Hartsville Drug Co Inc
Doing business as Hartsville Drug Company
- Community/Retail Pharmacy
- Hartsville, SC
National Provider Identifier
1447398375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 11315
- Legal business name
- HARTSVILLE DRUG CO INC
- Doing business as
- Hartsville Drug Company
- Practice address
- 134 W Carolina Ave
Hartsville, SC 29550-4216 - Phone
- (843) 332-6581
- NPI assigned
- Feb 2, 2007
- Last updated
- Jan 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeb Perkins, RPH
- Title
- Co-Owner
- Phone
- (843) 332-6581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 11315 | SC | Primary |
Addresses
Primary practice location
134 W Carolina Ave
Hartsville, SC 29550-4216
Mailing address
134 W Carolina Ave
Hartsville, SC 29550-4216
Phone (843) 332-6581
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128938 | Other | PK | |
| 700744 | Medicaid | SC |
Other names 1
- Hartsville Drug Company
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101020001373 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5991864498 |
1 other NPI on this enrollment Practice locations: Florence, SC; Hartsville, SC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Palmetto Prescription Center
- Community/Retail Pharmacy
- Florence, SC
- NPI 1003233925
O20101020001373
National Provider Directory
National Provider Directory- Tax ID family
- Hartsville Drug Co Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Palmetto Prescription Center
- Community/Retail Pharmacy
- Florence, SC
- NPI 1003233925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484870400000",
"number": "1447398375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 W CAROLINA AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504216",
"telephone_number": "843-332-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W CAROLINA AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504216",
"telephone_number": "843-332-6581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARTSVILLE DRUG CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2017-01-20",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "JEB",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "843-332-6581",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "11315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2128938",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700744",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hartsville Drug Company",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hartsville, SC
- Michael E Harless, M.D.
- Elizabeth Harrelson, LPES
- Leigh Ann G. Harrigan, PA-C
- Hartsville Anesthesia Associates
- Hartsville Diagnostic Associates PA
- Hartsville Drug Co., Inc.
- Hartsville Eye Group PC (Harrington & Flowers Vision Center)
- Hartsville Family Chiropractic
- Hartsville Family Chiropractic
- Hartsville Family Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.