Organization Active NPI

Howard'S Pharmacy, LLC

  • Community/Retail Pharmacy
  • Simpsonville, SC
National Provider Identifier
1619371606
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15316 Issued in SC
Legal business name
HOWARD'S PHARMACY, LLC
Doing business as
Howard's Pharmacy
Practice address
102 S Main St
Simpsonville, SC 29681-2628
Phone
(864) 963-5303
Fax
(864) 963-8346
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Scott CauseyNPI 1326396045
Title
Pic/Owner
Phone
(864) 963-5303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 15316 SC Primary

Addresses

Primary practice location

102 S Main St
Simpsonville, SC 29681-2628

Mailing address

102 S Main St
Simpsonville, SC 29681-2628
Phone (864) 963-5303

Other identifiers 1

IdentifierTypeStateIssuer
715316MedicaidSC

Other names 1

  • Howard's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190207002823 SC Part B Supplier - Mass Immunization (Roster Biller Only) 3173861697 Practice locations: Simpsonville, SC

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": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1619371606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812628",
            "telephone_number": "864-963-5303",
            "fax_number": "864-963-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812628",
            "telephone_number": "864-963-5303",
            "fax_number": "864-963-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "CAUSEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "864-963-5303"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "15316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "715316",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Howard's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.