Children'S Care Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DE2870 Issued in SC

Legal business name

CHILDREN'S CARE PHARMACY

Doing business as

Children's Care Pharmacy

Practice address

1530 McClure Court
Florence, SC 29505

Phone

(843) 679-1881

Fax

(843) 679-1887

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Terry T Lewis, RPH

Title

Pharmacist, Ceo

Phone

(843) 679-1881

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Children's Care Pharmacy Doing business as

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1538217401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MCCLURE COURT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29505",
            "telephone_number": "843-679-1881",
            "fax_number": "843-679-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MCCLURE COURT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29505",
            "telephone_number": "843-679-1881",
            "fax_number": "843-679-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST, CEO",
        "authorized_official_telephone_number": "843-679-1881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "DE2870",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50008779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4226735",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787792",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2870",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert Spencer Childress, CRNA
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• Chiropractic Enterprises, LLC

• Durable Medical Equipment & Medical Supplies in Florence, SC
• Providers in Florence, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.