Organization Active NPI

Jamisons Pharmacy Inc

  • Community/Retail Pharmacy
  • Orangeburg, SC
National Provider Identifier
1609982636
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50000571 Issued in SC
Legal business name
JAMISONS PHARMACY INC
Practice address
1225 Goff Ave
Orangeburg, SC 29115-3671
Phone
(803) 536-2165
Fax
(803) 533-1216
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dr. Mark A Jamison, PHARM. D.
Title
Manager
Phone
(803) 536-2165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50000571 SC Primary

Addresses

Primary practice location

1225 Goff Ave
Orangeburg, SC 29115-3671

Mailing address

1225 Goff Ave
Orangeburg, SC 29115-3671
Phone (803) 536-2165

Other identifiers 1

IdentifierTypeStateIssuer
705713MedicaidSC

National Provider Directory

National Provider Directory

Locations

1225 Goff Ave
Orangeburg, SC 29115
Phone (803) 536-2165

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1609982636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 GOFF AVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153671",
            "telephone_number": "803-536-2165",
            "fax_number": "803-533-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GOFF AVE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291153671",
            "telephone_number": "803-536-2165",
            "fax_number": "803-533-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMISONS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-536-2165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50000571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705713",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

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