Organization Active NPI

M & D Drug Co

  • Community/Retail Pharmacy
  • Lake City, SC
National Provider Identifier
1679648448
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50001639 Issued in SC
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

Updated by the provider on Jul 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4205147OtherNABP
716396MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.