Organization Active NPI

Kerr Drug Inc a Delaware Company

  • Community/Retail Pharmacy
  • Summerville, SC
National Provider Identifier
1497865182
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KERR DRUG INC A DELAWARE COMPANY
Practice address
1515 Old Trolley Rd
Summerville, SC 29485-8208
Phone
(843) 821-2629
Fax
(843) 821-9242
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Millie Fippen, RPH
Title
Pharmacist Manager
Phone
(843) 821-2629

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5089 SC
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1515 Old Trolley Rd
Summerville, SC 29485-8208

Mailing address

1515 Old Trolley Rd
Summerville, SC 29485-8208

Other identifiers 2

IdentifierTypeStateIssuer
4222941OtherOTHER ID NUMBER-COMMERCIAL NUMBER
750896MedicaidSC

Other names 1

  • KERR DRUG 619 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kerr Drug23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497865182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 OLD TROLLEY RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858208",
            "telephone_number": "843-821-2629",
            "fax_number": "843-821-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERR DRUG INC A DELAWARE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FIPPEN",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "843-821-2629",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "5089",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4222941",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750896",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERR DRUG 619",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.