Palmetto State Pharmaceuticals Inc

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

8831 Issued in SC

Legal business name

PALMETTO STATE PHARMACEUTICALS INC

Doing business as

PrimaryRx

Practice address

2000 Sam Rittenberg Blvd
Suite 116
Charleston, SC 29407-4629

Phone

(843) 769-7633

Fax

(843) 769-7693

NPI assigned

Sep 20, 2006

Last updated

Oct 16, 2014By 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

Nikkee Finley

Title

Primary RX

Phone

(843) 769-7633

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PrimaryRx Doing business as

Tax ID family

Dermatology and Laser Center of Charlestonpalmetto State Pharm2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dermatology and Laser Center of Charleston/Palmetto State Pharm

  dba Primary Rx

  • Dermatology Physician
  • Charleston, SC
  • NPI 1508189838
  NPD tax ID

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1639276561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SAM RITTENBERG BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074629",
            "telephone_number": "843-769-7633",
            "fax_number": "843-769-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SAM RITTENBERG BLVD",
            "address_2": "SUITE 116",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074629",
            "telephone_number": "843-769-7633",
            "fax_number": "843-769-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO STATE PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "NIKKEE",
        "authorized_official_title_or_position": "PRIMARY RX",
        "authorized_official_telephone_number": "843-769-7633"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "SC",
            "license": "8831",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimaryRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palmetto Pulmonary Physicians of Charleston PA
• Palmetto Rainbow Dental Group LLC
• Palmetto Sleep Centers, Inc
• Palmetto Spine & Sports Medicine, P.a.
• Palmetto Spine & Sports Medicine, PA
• Palmetto Vein Specialists, LLC
• Palmetto Vision Care LLC
• Palmetto Vision Inc
• Katarina Palmman, MS, RD, LD
• Jose Emmanuel Palo

• Mail Order Pharmacy in Charleston, SC
• Providers in Charleston, SC by specialty
• Mail Order Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.