Loris Drug Company LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LORIS DRUG COMPANY LLC

Practice address

4125 Main St
Loris, SC 29569-3023

Phone

(843) 756-4021

Fax

(843) 756-9124

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Paula Rutledge, PHARMD

Title

Owner

Phone

(803) 463-1401

Specialties & licenses 1

Addresses

Other names 1

• Loris Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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

• Paula Gwyn Justice, PHARMD

  • Pharmacist
  • North Myrtle Beach, SC
  • NPI 1518215516
  NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688169600000",
    "number": "1497446256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MAIN ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693023",
            "telephone_number": "843-756-4021",
            "fax_number": "843-756-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 MAIN ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693023",
            "telephone_number": "843-756-4021",
            "fax_number": "843-756-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIS DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-463-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loris Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loris Community Hospital District
• Loris Community Hospital District
• Loris Community Hospital District
• Loris Community Hospital District
• Loris Community Hospital District
• Loris Drug Store, Inc.
• Loris Drug Store, Inc.
• Loris Eye Associates PC
• Loris Family Dentistry, LLC
• Loris Medical Center, PA

• Community/Retail Pharmacy in Loris, SC
• Providers in Loris, 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 Jul 1, 2023; 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.