Boland Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50001693 Issued in SC

Legal business name

BOLAND PHARMACY

Practice address

2732 Cleveland St
Elloree, SC 29047

Phone

(803) 897-2133

Fax

(803) 897-2752

NPI assigned

Jul 6, 2007

Last updated

Sep 23, 2008By 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

Julian Boland

Title

Owner

Phone

(803) 897-2133

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1649478025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50",
            "city": "ELLOREE",
            "state": "SC",
            "postal_code": "290470050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 CLEVELAND ST",
            "city": "ELLOREE",
            "state": "SC",
            "postal_code": "29047",
            "telephone_number": "803-897-2133",
            "fax_number": "803-897-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLAND PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-897-2133"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50001693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4212293",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716933",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Lee Carpenter Jr., MD
• Elloree Pharmacy LLC
• Carla Fair Fleming, PT
• Lea Gaillard Helmly, RPH
• Janice King Holloway, N.P.

• Community/Retail Pharmacy in Elloree, SC
• Providers in Elloree, 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 Sep 23, 2008; 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.