Latta Drug Company, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50006173 Issued in SC

Legal business name

LATTA DRUG COMPANY, INC.

Doing business as

Latta Drug Company Inc

Practice address

106 E Main St
Latta, SC 29565-1617

Phone

(843) 752-0023

Fax

(843) 752-0062

NPI assigned

May 17, 2006

Last updated

Feb 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryant Brown, RPHNPI 1043293491

Title

Owner Phcst

Phone

(843) 752-0023

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• LATTA DRUG COMPANY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in SC3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Latta Drug Company, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Latta, SC
  • NPI 1336266022

  O20100930010732

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryant Lane Brown, RPH

  • Pharmacist
  • Latta, SC
  • NPI 1043293491
  NPD Authorized official
• Laurie M Dwyer, PHARMACIST

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Latta, SC
  • NPI 1962009928
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1619929684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "LATTA",
            "state": "SC",
            "postal_code": "295651617",
            "telephone_number": "843-752-0023",
            "fax_number": "843-752-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "LATTA",
            "state": "SC",
            "postal_code": "295651617",
            "telephone_number": "843-752-0023",
            "fax_number": "843-752-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATTA DRUG COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "843-752-0023",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50006173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092085",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761731",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LATTA DRUG COMPANY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teri Arlana Jackson
• Souleika Johnson
• Sandra Jones, LPES
• Kristopher Olen Lane, FNP
• Latta Drug Company, Inc.
• Latta Rescue Squad, Inc.
• Latta Smiles
• Sharonda Rawls Legette, FNP-C
• Anita Graves Mace, RN, BSN
• Marion Physician Services LLC (Marion Medical Group-Latta)

• Community/Retail Pharmacy in Latta, SC
• Providers in Latta, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.