Community Pharmacy of Fort Mill Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

13249 Issued in NC

Legal business name

COMMUNITY PHARMACY OF FORT MILL INC.

Practice address

601 Springcrest Dr
Fort Mill, SC 29715-7314

Phone

(803) 548-2851

Fax

(803) 548-2717

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

James Richards

Title

Owner/Vice President

Phone

(803) 548-2851

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Fort Mill Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1497863062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SPRINGCREST DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157314",
            "telephone_number": "803-548-2851",
            "fax_number": "803-548-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SPRINGCREST DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157314",
            "telephone_number": "803-548-2851",
            "fax_number": "803-548-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY OF FORT MILL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "803-548-2851"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "13249",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "13249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130188",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713249",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Mill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Randall James Conger, DC
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• Community/Retail Pharmacy in Fort Mill, SC
• Providers in Fort Mill, 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 Feb 28, 2017; 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.