Medicine Mart of Orangeburg Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50009035 Issued in SC

Legal business name

MEDICINE MART OF ORANGEBURG INC

Practice address

1291 Broughton St
Orangeburg, SC 29115-5967

Phone

(803) 531-3141

Fax

(803) 531-3143

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Pat Wooten, RPH

Title

Owner

Phone

(803) 531-3141

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• MEDICINE MART Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1669566972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1685",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291161685",
            "telephone_number": "803-531-3141",
            "fax_number": "803-531-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 BROUGHTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291155967",
            "telephone_number": "803-531-3141",
            "fax_number": "803-531-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE MART OF ORANGEBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-531-3141",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50009035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4216075",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "723222",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790356",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical University Hospital Authority
• Medical University Hospital Authority
• Medical University Hospital Authority
• Medical University Hospital Authority
• Medical University Hospital Authority
• Matthew Mercer
• Hugh G. Merriman III, M.D.
• Michael Farnham DC
• Hope Sunshine Miles
• Catherine Meekins Millender, MD

• Community/Retail Pharmacy in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.