Organization Active NPI

CBTP Partners LLC

Doing business as Woodruff Health Mart Pharmacy

  • Community/Retail Pharmacy
  • Woodruff, SC
National Provider Identifier
1679116453
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CBTP PARTNERS LLC
Doing business as
Woodruff Health Mart Pharmacy
Practice address
10195 Highway 221 Ste 5
Woodruff, SC 29388-9358
Phone
(864) 670-8150
Fax
(864) 670-8151
NPI assigned
Oct 23, 2019
Last updated
Oct 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Mr. Charles N Baumgardner, RPHNPI 1285002337
Title
Co-Owner/Pharmacist
Phone
(864) 316-9689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10195 Highway 221 Ste 5
Woodruff, SC 29388-9358

Mailing address

10195 Highway 221 Ste 5
Woodruff, SC 29388-9358
Phone (864) 670-8150

Other identifiers 1

IdentifierTypeStateIssuer
19165OtherSCSC PHARMACY PERMIT NUMBER

Other names 1

  • WOODRUFF HEALTH MART PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

10195 Highway 221
Ste 5
Woodruff, SC 29388
Phone (864) 670-8050

Practitioners & affiliated clinicians

Practitioners 1

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": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1679116453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10195 HIGHWAY 221 STE 5",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889358",
            "telephone_number": "864-670-8150",
            "fax_number": "864-670-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10195 HIGHWAY 221 STE 5",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "293889358",
            "telephone_number": "864-670-8150",
            "fax_number": "864-670-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBTP PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CO-OWNER/PHARMACIST",
        "authorized_official_telephone_number": "864-316-9689",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PHARMACY PERMIT NUMBER",
            "identifier": "19165",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODRUFF HEALTH MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodruff, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.