Organization Active NPI

McClellanville Pharmacy Inc.

  • Community/Retail Pharmacy
  • McClellanville, SC
National Provider Identifier
1578620084
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MCCLELLANVILLE PHARMACY INC.
Doing business as
MCCLELLANVILLE DRUGS
Practice address
10035 Highway 17 North
McClellanville, SC 29458
Phone
(843) 887-3990
Fax
(843) 887-3501
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jonathan David Wells, RPH
Title
Pharmacist
Phone
(843) 887-3990

Specialties & licenses 1

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

Addresses

Primary practice location

10035 Highway 17 North
McClellanville, SC 29458

Mailing address

P.O. Box 548
McClellanville, SC 29458
Phone (843) 887-3990

Other names 1

  • MCCLELLANVILLE DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

10035 N Highway 17
Mc Clellanville, SC 29458
Phone (843) 887-3990

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578620084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 548",
            "city": "MCCLELLANVILLE",
            "state": "SC",
            "postal_code": "29458",
            "telephone_number": "843-887-3990",
            "fax_number": "843-887-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 HIGHWAY 17 NORTH",
            "city": "MCCLELLANVILLE",
            "state": "SC",
            "postal_code": "29458",
            "telephone_number": "843-887-3990",
            "fax_number": "843-887-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLELLANVILLE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "843-887-3990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCLELLANVILLE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McClellanville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.