Palmetto Family Pharmacy Regent Park

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PALMETTO FAMILY PHARMACY REGENT PARK

Practice address

1046 Regent Parkway
Suite 104
Fort Mill, SC 29715

Phone

(803) 980-7272

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Brandon Hall

Title

Co-Owner

Phone

(803) 980-7272

Specialties & licenses 1

Addresses

Other names 1

• Palmetto Family Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1629434071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 REGENT PARKWAY",
            "address_2": "SUITE 104",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 REGENT PARKWAY",
            "address_2": "SUITE 104",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29715",
            "telephone_number": "803-980-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FAMILY PHARMACY REGENT PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "803-980-7272"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Ann Pagnotta, DO
• Frank Palermo, LPC, NCC, M.ED
• Lillian Palermo, RBT
• Ryan Palmer, D.C.
• Palmetto Family Hearing Center, LLC
• Palmetto Podiatry Group of Anderson, PA
• Palmetto Podiatry Group of Anderson, PA
• Palmetto Rehabilitation Specialists, LLC
• Palmetto Rehabilitation Specialists, LLC
• Amanda Panico, M.S., BCBA, LBA

• Community/Retail Pharmacy in Fort Mill, SC
• Providers in Fort Mill, 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 Jan 14, 2016; 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.