Medical Center Compounding Lab

Primary specialty

PharmacistTaxonomy code 183500000X

License

50005156 Issued in SC

Legal business name

MEDICAL CENTER COMPOUNDING LAB

Practice address

410 University Pkwy
Suite 2400
Aiken, SC 29801-6810

Phone

(803) 649-1547

Fax

(803) 648-0120

NPI assigned

Jan 26, 2009

Last updated

Jan 26, 2009By 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. Thomas D Holley Sr., RPHNPI 1891883559

Title

President

Phone

(803) 649-1547

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Delleney Holley, RPH

  • Pharmacist
  • Aiken, SC
  • NPI 1891883559
  Authorized official Same address or phone

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1568600781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "SUITE 2800",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016810",
            "telephone_number": "803-649-1547",
            "fax_number": "803-648-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "SUITE 2400",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016810",
            "telephone_number": "803-649-1547",
            "fax_number": "803-648-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER COMPOUNDING LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-649-1547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "50005156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Blakewood McNeil, B.A.
• McNeill Physical Therapy and Wellness LLC
• Jan M McWilliams, LCSW
• Me Pivot Holdings LLC (Miracle-Ear Center)
• Marge Laflamme Meabon, PT, ATC
• Medical Center Pharmacy, Inc.
• Medical Consultants PC
• Mary-Kathryn Carroll Medlen, DPT
• Christina Meeks, ED.S., NCSP
• Mark J Meiler, MD

• Pharmacist in Aiken, SC
• Providers in Aiken, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.