Organization Active NPI

Landrum Drug Inc

  • Community/Retail Pharmacy
  • Landrum, SC
National Provider Identifier
1649227133
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LANDRUM DRUG INC
Practice address
104 W Rutherford Rd
Landrum, SC 29356
Phone
(864) 457-2401
Fax
(864) 457-2583
NPI assigned
May 28, 2006
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Dr. Hailey Mullinax Branyon, PHARMDNPI 1467706697
Title
Owner
Phone
(864) 457-2401

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 NU Primary

Addresses

Primary practice location

104 W Rutherford Rd
Landrum, SC 29356

Mailing address

104 W Rutherford Rd
Landrum, SC 29356
Phone (864) 457-2401

Other identifiers 1

IdentifierTypeStateIssuer
724820MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101130000818 SC Part B Supplier - Mass Immunization (Roster Biller Only) 5496871162 Practice locations: Landrum, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2210513Landrum Drug Inc104 W Rutherford St, Landrum, SC 29356Certificate of waiverJan 20, 2027

National Provider Directory

National Provider Directory

Locations

104 W Rutherford St
Landrum, SC 29356
Phone (864) 457-2401

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1649227133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W RUTHERFORD RD",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "29356",
            "telephone_number": "864-457-2401",
            "fax_number": "864-457-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W RUTHERFORD RD",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "29356",
            "telephone_number": "864-457-2401",
            "fax_number": "864-457-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRUM DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BRANYON",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_middle_name": "MULLINAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-457-2401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "724820",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Landrum, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.