Organization Active NPI

Beam & Flynn Inc

Doing business as Wingards Pharmacy

  • Community/Retail Pharmacy
  • Greenwood, SC
National Provider Identifier
1659475614
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50009887 Issued in SC
Legal business name
BEAM & FLYNN INC
Doing business as
Wingards Pharmacy
Practice address
202 Seaboard Ave
Greenwood, SC 29646-2201
Phone
(864) 223-6120
Fax
(864) 223-0693
NPI assigned
Sep 12, 2006
Last updated
Jun 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Brian Duffie, BS
Title
Pic
Phone
(864) 223-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50009887 SC Primary

Addresses

Primary practice location

202 Seaboard Ave
Greenwood, SC 29646-2201

Mailing address

PO Box 660
Greenwood, SC 29648-0660
Phone (864) 223-6120

Other identifiers 2

IdentifierTypeStateIssuer
798875MedicaidSC
2087922OtherPK

Other names 1

  • WINGARDS PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171009000702 SC Part B Supplier - Mass Immunization (Roster Biller Only) 2062787674 Practice locations: Greenwood, SC

National Provider Directory

National Provider Directory

Locations

202 Seaboard Ave
Greenwood, SC 29646
Phone (864) 223-6120

Practitioners & affiliated clinicians

Practitioners 2

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": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1659475614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296480660",
            "telephone_number": "864-223-6120",
            "fax_number": "864-223-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SEABOARD AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462201",
            "telephone_number": "864-223-6120",
            "fax_number": "864-223-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAM & FLYNN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "DUFFIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "864-223-6120",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50009887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "798875",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087922",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINGARDS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.