Active NPI
Privilege Pharmacy Inc
- Community/Retail Pharmacy
- West Columbia, SC
National Provider Identifier
1649670969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PRIVILEGE PHARMACY INC
- Practice address
- 3311 Platt Springs Rd
West Columbia, SC 29170-2203 - Phone
- (803) 708-1226
- Fax
- (803) 708-1229
- NPI assigned
- Aug 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anitha R Eippa
- Title
- Owner
- Phone
- (513) 252-8843
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3311 Platt Springs Rd
West Columbia, SC 29170-2203
Mailing address
3311 Platt Springs Rd
West Columbia, SC 29170-2203
Phone (803) 708-1226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 715359 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
3321 Platt Springs Rd
West Columbia, SC 29170
Phone (513) 252-8712
3311 Platt Springs Rd
West Columbia, SC 29170
Phone (803) 708-1226
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacy Technician
- West Columbia, SC
- NPI 1124422050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520553600000",
"number": "1649670969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 PLATT SPRINGS RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291702203",
"telephone_number": "803-708-1226",
"fax_number": "803-708-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 PLATT SPRINGS RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291702203",
"telephone_number": "803-708-1226",
"fax_number": "803-708-1229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIVILEGE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-25",
"last_updated": "2018-03-09",
"status": "A",
"authorized_official_last_name": "EIPPA",
"authorized_official_first_name": "ANITHA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-252-8843"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "715359",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.