Edisto RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EDISTO RX, LLC

Practice address

487 Highway 174 Ste D
Edisto Island, SC 29438-6859

Phone

(843) 510-7979

NPI assigned

Jun 4, 2026

Last updated

Jun 4, 2026By 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

Elizabeth Johnson, RPHNPI 1124628367

Title

Pharmacist in Charge

Phone

(706) 271-6357

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Elizabeth Johnson

  • Pharmacist
  • Dalton, GA
  • NPI 1124628367
  NPD Authorized official

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1649103045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 HIGHWAY 174 STE D",
            "city": "EDISTO ISLAND",
            "state": "SC",
            "postal_code": "294386859",
            "telephone_number": "843-510-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 HIGHWAY 174 STE D",
            "city": "EDISTO ISLAND",
            "state": "SC",
            "postal_code": "294386859",
            "telephone_number": "843-510-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISTO RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "706-271-6357",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca J Borders, DO
• Erin Cain, RN
• Edisto Dental Associates of SC, LLC
• Edisto Medicine
• Fetter Health Care Network Inc (Fetter Health Care Network-Manse Migrant Camp Location)
• Morgan Greb, RN
• Christine N. Houser, APRN
• Courtney Jennings, OTR/L
• Liberty Doctors, LLC (Internal Medicine Of Edisto)

• Community/Retail Pharmacy in Edisto Island, SC
• Providers in Edisto Island, 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 Jun 4, 2026; 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.