Nyes Pharmacy of Conway Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10957 Issued in SC

Legal business name

NYES PHARMACY OF CONWAY INC

Doing business as

Nye's Pharmacy

Practice address

1600 10TH Ave
Conway, SC 29526-4112

Phone

(843) 248-5015

Fax

(843) 488-1942

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Tiffany Combs

Title

Owner/Pharmacist

Phone

(843) 248-5015

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nye's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1528388279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 10TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264112",
            "telephone_number": "843-248-5015",
            "fax_number": "843-488-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 10TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264112",
            "telephone_number": "843-248-5015",
            "fax_number": "843-488-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYES PHARMACY OF CONWAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "843-248-5015"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "10957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4229692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nye's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Nwanegwo, ATC, SCAT
• Katie Beth Nwanegwo, WHNP
• Nye'S Pharmacy Inc.
• Nye'S Pharmacy Inc.
• Nye'S Pharmacy of Conway,Inc.
• Thomas John O'Connor, FNP
• Kathleen Ann O'Leary, M.D.
• Tami Gail Obranovic, RN
• Occ Doc of South Carolina
• Micheal A Odle, MD

• Community/Retail Pharmacy in Conway, SC
• Providers in Conway, 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 30, 2010; 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.