Organization Active NPI

JJ Bre Inc

Doing business as Community Pharmacy of Turbeville

  • Community/Retail Pharmacy
  • Turbeville, SC
National Provider Identifier
1669546057
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50009527 Issued in SC
Legal business name
JJ BRE INC
Doing business as
Community Pharmacy of Turbeville
Practice address
942 Smith Street
Turbeville, SC 29162-0421
Phone
(843) 659-2204
Fax
(842) 659-3404
NPI assigned
Nov 20, 2006
Last updated
Nov 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Robin Charis
Title
Owner
Phone
(843) 659-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50009527 SC Primary

Addresses

Primary practice location

942 Smith Street
Turbeville, SC 29162-0421

Mailing address

PO Box 421
Turbeville, SC 29162-0421

Other identifiers 2

IdentifierTypeStateIssuer
2090464OtherPK
795278MedicaidSC

Other names 1

  • COMMUNITY PHARMACY OF TURBEVILLE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101021000212 SC Part B Supplier - Mass Immunization (Roster Biller Only) 6406049568 Practice locations: Turbeville, SC

National Provider Directory

National Provider Directory

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1669546057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "TURBEVILLE",
            "state": "SC",
            "postal_code": "291620421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 SMITH STREET",
            "city": "TURBEVILLE",
            "state": "SC",
            "postal_code": "291620421",
            "telephone_number": "843-659-2204",
            "fax_number": "842-659-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ BRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "CHARIS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-659-2204"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50009527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "795278",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY PHARMACY OF TURBEVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Turbeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.