Organization Active NPI

Hartsville Drug Co Inc

Doing business as Hartsville Drug Company

  • Community/Retail Pharmacy
  • Hartsville, SC
National Provider Identifier
1447398375
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11315 Issued in SC
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2128938OtherPK
700744MedicaidSC

Other names 1

  • Hartsville Drug Company Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Hartsville Drug Co Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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

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.

Verify at the official NPI Registry.