NPIMap

Organization Active NPI

Mobile Med Inc

Doing business as Lowcountry Home Respiratory Pharmacy

  • Compounding Pharmacy
  • Greenville, SC
National Provider Identifier
1598849986
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
MOBILE MED INC
Doing business as
Lowcountry Home Respiratory Pharmacy
Practice address
1199 E South Pleasantburg Drive
Greenville, SC 29605
Phone
(864) 569-0418
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Gary Beson II
Title
Owner
Phone
(843) 285-7903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X NU Primary

Addresses

Primary practice location

1199 E South Pleasantburg Drive
Greenville, SC 29605

Mailing address

200 West 5TH Street North
Summerville, SC 29483

Other names 1

  • LOWCOUNTRY HOME RESPIRATORY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lowcountry Home Respiratory6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1199 S Pleasantburg Dr
Greenville, SC 29605
Phone (864) 569-0418

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598849986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WEST 5TH STREET NORTH",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 E SOUTH PLEASANTBURG DRIVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29605",
            "telephone_number": "864-569-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BESON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-285-7903",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOWCOUNTRY HOME RESPIRATORY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, 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.