Organization Active NPI

Nephron Pharmacy LLC

Doing business as Nephron Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • West Columbia, SC
National Provider Identifier
1457971541
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NEPHRON PHARMACY LLC
Doing business as
Nephron Pharmacy
Practice address
4500 12TH Street Ext Ste B
West Columbia, SC 29172-3025
Phone
(803) 569-2800
Fax
(803) 296-0674
NPI assigned
Apr 20, 2020
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
William Yttre
Title
VP of Finance
Phone
(803) 569-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

4500 12TH Street Ext Ste B
West Columbia, SC 29172-3025

Mailing address

4500 12TH Street Ext
West Columbia, SC 29172-3025
Phone (803) 569-2812

Other names 1

  • Nephron Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4500 12th Street Ext
Ste B
West Columbia, SC 29172
Phone (803) 569-2800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1457971541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 12TH STREET EXT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291723025",
            "telephone_number": "803-569-2812",
            "fax_number": "803-296-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 12TH STREET EXT STE B",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291723025",
            "telephone_number": "803-569-2800",
            "fax_number": "803-296-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHRON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "YTTRE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "803-569-2800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nephron Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nephron Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.