Med Mart Lex

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16242 Issued in SC

Legal business name

MED MART LEX

Practice address

348B Columbia Ave
Lexington, SC 29072-2657

Phone

(803) 957-5969

Fax

(803) 808-1829

NPI assigned

Nov 25, 2005

Organization subpart

No

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

Authorized official

Name

Michael Gleaton

Title

Owner

Phone

(803) 957-5969

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medicine Mart of Lexington SC Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Harley Raye Greene, PHARMD

  • Pharmacist
  • Lexington, SC
  • NPI 1811728710
  NPD (past)
• John M Matheny, RPH

  • Pharmacist
  • Lexington, SC
  • NPI 1912050568
  NPD (past)

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1528041373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348B COLUMBIA AVE",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722657",
            "telephone_number": "803-957-5969",
            "fax_number": "803-808-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348B COLUMBIA AVE",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722657",
            "telephone_number": "803-957-5969",
            "fax_number": "803-808-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MART LEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-25",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "GLEATON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-957-5969"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "16242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155728",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716242",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Mart of Lexington SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McPherson Transitions MHT LLC
• Jeannine Bellanti McSorley, APRN
• Kelley Jordan McSwain
• Meaningful Milestones LLC
• Jacy Meanor
• Med Mart Lex LLC
• Medexpress Primary Care South Carolina, P.C.
• Medfirst Diabetic Shoes & Supplies
• Medical Comfort Systems, Inc.
• Medical Services of America Inc

• Community/Retail Pharmacy in Lexington, SC
• Providers in Lexington, 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, 2024; 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.