Active NPI
Vcorp,LLC Dba Bluffton Pharmacy
- Community/Retail Pharmacy
- Bluffton, SC
National Provider Identifier
1487790812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50002467
- Legal business name
- VCORP,LLC DBA BLUFFTON PHARMACY
- Practice address
- 167 B Bluffton Rd.
Bluffton, SC 29910 - Phone
- (843) 757-4999
- Fax
- (843) 757-1034
- NPI assigned
- Jan 30, 2007
- 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
- Robert Vaughn
- Title
- Owner
- Phone
- (843) 757-4999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 50002467 | SC | Primary |
Addresses
Primary practice location
167 B Bluffton Rd.
Bluffton, SC 29910
Mailing address
167 B Bluffton Rd.
Bluffton, SC 29910
Phone (843) 757-4999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2090030 | Other | PK | |
| 724671 | Medicaid | SC |
Other names 2
- BLUFFTON PHARMACY
- BLUFFTON PHARMACY INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210408002580 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416365523 | Practice locations: Bluffton, SC |
| O20250909003469 | SC | Part B Supplier - Pharmacy | 7416365523 | Practice locations: Bluffton, SC |
National Provider Directory
National Provider DirectoryLocations
167 Bluffton Rd
Ste B
Bluffton, SC 29910
Phone (843) 757-4999
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Columbia, SC
- NPI 1508230699
-
- Pharmacist
- Bluffton, SC
- NPI 1376632802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619049600000",
"number": "1487790812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 B BLUFFTON RD.",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "29910",
"telephone_number": "843-757-4999",
"fax_number": "843-757-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 B BLUFFTON RD.",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "29910",
"telephone_number": "843-757-4999",
"fax_number": "843-757-1034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VCORP,LLC DBA BLUFFTON PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-757-4999"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "50002467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2090030",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "724671",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BLUFFTON PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BLUFFTON PHARMACY INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BLUFFTON PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bluffton, SC
- Louis John Valente, DMD, MD
- Rahmie Valentine, OMD, L.AC.
- Valhalla Enterprises, LLC
- Rosemarie Corinne Van Etten
- Sean Edward Vanmarter, D.P.M.
- Suzanne Veilleux, PH.D., J.D.
- Amy Elaine Velder, M.ED., M.A.
- Leann Michelle Ventriglia-Rogers, PT, DPT
- Lisa Marie Vespico-Mull, LPC, CAADC, SAP
- Allison Kathryn Vigil, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.