Organization Active NPI

Wattsville Drugs Inc

  • Community/Retail Pharmacy
  • Laurens, SC
National Provider Identifier
1578607289
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50002455 Issued in SC
Legal business name
WATTSVILLE DRUGS INC
Practice address
24 Sirrine St
Laurens, SC 29360-2136
Phone
(864) 984-3579
Fax
(864) 984-3570
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Robert Anderson, RPH
Title
Owner
Phone
(864) 984-3579

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 50002455 SC Primary

Addresses

Primary practice location

24 Sirrine St
Laurens, SC 29360-2136

Mailing address

24 Sirrine St
Laurens, SC 29360-2136
Phone (864) 984-3579

Other identifiers 2

IdentifierTypeStateIssuer
724556MedicaidSC
2090147OtherPK

Other names 1

  • WATTSVILLE DRUG COMPANY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1578607289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SIRRINE ST",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602136",
            "telephone_number": "864-984-3579",
            "fax_number": "864-984-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SIRRINE ST",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602136",
            "telephone_number": "864-984-3579",
            "fax_number": "864-984-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATTSVILLE DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-984-3579",
        "authorized_official_credential": "RPH"
    },
    "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": "50002455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724556",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATTSVILLE DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.