Organization Active NPI

MJW Corporation

Doing business as Family Pharmacy South Aiken

  • Durable Medical Equipment & Medical Supplies
  • Aiken, SC
National Provider Identifier
1659572345
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2693 Issued in SC
Legal business name
MJW CORPORATION
Doing business as
Family Pharmacy South Aiken
family pharmacy
Practice address
110 Price Ave
Aiken, SC 29803-7395
Phone
(803) 648-1776
Fax
(803) 649-9494
NPI assigned
May 30, 2007
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Brandi Nicole Johnson, PHARM DNPI 1427481928
Title
President-Owner-Pharmacist
Phone
(803) 648-1776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Durable Medical Equipment & Medical Supplies 332B00000X 2693 SC Primary

Addresses

Primary practice location

110 Price Ave
Aiken, SC 29803-7395

Mailing address

333 Newberry St NW
Aiken, SC 29801-3929
Phone (803) 649-1776

Other identifiers 1

IdentifierTypeStateIssuer
DME636MedicaidSC

Other names 2

  • Family Pharmacy South Aiken Doing business as
  • family pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930064654 SC DME Supplier - Pharmacy 5395863583 Practice locations: Aiken, SC
O20120427000427 SC Part B Supplier - Mass Immunization (Roster Biller Only) 5395863583 Practice locations: Aiken, SC
O20240425002827 SC Part B Supplier - Pharmacy 5395863583 Practice locations: Aiken, SC

National Provider Directory

National Provider Directory
Tax ID family
Wagener Family Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

333 Newberry St NW
Aiken, SC 29801
Phone (803) 649-1776

Practitioners & affiliated clinicians

Practitioners 4

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1659572345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NEWBERRY ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013929",
            "telephone_number": "803-649-1776",
            "fax_number": "803-641-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PRICE AVE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037395",
            "telephone_number": "803-648-1776",
            "fax_number": "803-649-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJW CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT-OWNER-PHARMACIST",
        "authorized_official_telephone_number": "803-648-1776",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "2693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME636",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy South Aiken",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "family pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.