Pawleys Island Pharmacy of Litchfield LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15334 Issued in SC

Legal business name

PAWLEYS ISLAND PHARMACY OF LITCHFIELD LLC

Doing business as

Pawleys Island Pharmacy of Litchfield

Practice address

115 Willbrook Blvd Unit a
Pawleys Island, SC 29585-6542

Phone

(843) 314-0498

Fax

(843) 314-0580

NPI assigned

Aug 14, 2014

Last updated

Dec 2, 2015By 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

Glenn Cox

Title

President

Phone

(843) 314-0498

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PAWLEYS ISLAND PHARMACY OF LITCHFIELD Doing business as

Locations

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1467851501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WILLBROOK BLVD",
            "address_2": "UNIT A",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856541",
            "telephone_number": "843-314-0498",
            "fax_number": "843-314-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILLBROOK BLVD UNIT A",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295856542",
            "telephone_number": "843-314-0498",
            "fax_number": "843-314-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWLEYS ISLAND PHARMACY OF LITCHFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-314-0498"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "15334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAWLEYS ISLAND PHARMACY OF LITCHFIELD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Steven J Petersen Jr., MD
• Richard Andrew Philipp II, MD
• Robyn H Polk, P.T.
• Karen Owens Pope, LMT

• Community/Retail Pharmacy in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.