Active NPI
JJ Bre Inc
Doing business as Community Pharmacy of Turbeville
- Community/Retail Pharmacy
- Turbeville, SC
National Provider Identifier
1669546057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50009527
- 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, 2013
- 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
- Robin Charis
- Title
- Owner
- Phone
- (843) 659-2204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2090464 | Other | PK | |
| 795278 | Medicaid | SC |
Other names 1
- COMMUNITY PHARMACY OF TURBEVILLE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101021000212 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 6406049568 | Practice locations: Turbeville, SC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Turbeville, SC
- NPI 1013140888
-
- Pharmacy Technician
- Turbeville, SC
- NPI 1104407022
-
- Pharmacist
- Florence, SC
- NPI 1255219853
-
- Pharmacist
- Turbeville, SC
- NPI 1205969227
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
- Gibbons Drug Company Inc (Community Pharmacy)
- William Chad Gibbons, RPH
- George Patrick Green, DMD
- Roxanne G Hardy, MCD, CCC-SLP
- Michael Hodge, MD
- Della Lesane-Player
- Lindsey Lloyd, LAT, ATC
- Amanda F McConnell, P.A.
- Catherine Lenise McDowell
- McLeod Physician Associates II (McLeod Primary Care Turbeville)
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.