Carolina Compounding Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

SC6626 Issued in SC

Legal business name

CAROLINA COMPOUNDING PHARMACY INC

Practice address

205 Stork Way
Seneca, SC 29678-1039

Phone

(864) 886-0661

Fax

(864) 886-0522

NPI assigned

Oct 21, 2011

Last updated

Oct 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William T. Mauldin, RPH

Title

Pharmacist

Phone

(864) 886-0661

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1548545569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 STORK WAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781039",
            "telephone_number": "864-886-0661",
            "fax_number": "864-886-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STORK WAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781039",
            "telephone_number": "864-886-0661",
            "fax_number": "864-886-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "MAULDIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "864-886-0661",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "SC6626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Brooke Cannady, N.P.
• Kristin Lee Cantrell, PA
• Caring Legacy Home Care
• Caring Legacy Home Health Care
• Jordan Carlson, OD
• Carolina Counseling Professionals, LLC
• Carolina Kids Pediatrics, P.a.
• Carolina Lung & Sleep Center LLC
• Carolina Neurology LLC
• Carolina Surgery, PA

• Pharmacy in Seneca, SC
• Providers in Seneca, SC by specialty
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.