Woodruff Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10022 Issued in SC

Legal business name

WOODRUFF FAMILY PHARMACY LLC

Practice address

914 N Main St
Woodruff, SC 29388-9023

Phone

(864) 476-2800

Fax

(864) 476-2880

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Hubert Mobley, RPH

Title

Partner

Phone

(803) 329-4401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WOODRUFF FAMILY PHARMACY LLC Doing business as

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley W Prince

  • Pharmacist
  • Woodruff, SC
  • NPI 1952566598
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1457514630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N MAIN ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889023",
            "telephone_number": "864-476-2800",
            "fax_number": "864-476-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N MAIN ST",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889023",
            "telephone_number": "864-476-2800",
            "fax_number": "864-476-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRUFF FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-329-4401",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "10022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4227814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODRUFF FAMILY PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Rae Wheeler, D.D.S.
• Shawna Monee White
• Sandra S Williams, RN
• Woodruff Family Dentistry
• Woodruff Family Medicine LLC
• Woodruff Manor
• Woodruff Manor, LLC
• Jessica Duncan Worthington, BCBA
• Stephanie L Younger, O.D.

• All providers in Woodruff, SC
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.