Active NPI
M & D Drug Co
- Community/Retail Pharmacy
- Lake City, SC
National Provider Identifier
1679648448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50001639
- Legal business name
- M & D DRUG CO
- Practice address
- 117 E. Main St.
Lake City, SC 29560 - Phone
- (843) 374-3711
- Fax
- (843) 374-8925
- NPI assigned
- Nov 21, 2006
- 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
- Mr. Warren Todd Creel, R.PH.
- Title
- V. President
- Phone
- (843) 374-3711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 50001639 | SC | Primary |
Addresses
Primary practice location
117 E. Main St.
Lake City, SC 29560
Mailing address
117 E. Main St
Lake City, SC 29560
Phone (843) 374-3711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4205147 | Other | NABP | |
| 716396 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
117 E Main St
Lake City, SC 29560
Phone (843) 374-3711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Lake City, SC
- NPI 1295761674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216252800000",
"number": "1679648448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E. MAIN ST",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "29560",
"telephone_number": "843-374-3711",
"fax_number": "843-374-8925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E. MAIN ST.",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "29560",
"telephone_number": "843-374-3711",
"fax_number": "843-374-8925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M & D DRUG CO",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2008-07-17",
"status": "A",
"authorized_official_last_name": "CREEL",
"authorized_official_first_name": "WARREN",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "V. PRESIDENT",
"authorized_official_telephone_number": "843-374-3711",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "50001639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4205147",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "716396",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.