Medicine Mart of Gaffney

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17352 Issued in SC

Legal business name

MEDICINE MART OF GAFFNEY

Practice address

305 N Limestone St
Gaffney, SC 29340-3171

Phone

(864) 489-5198

Fax

(864) 488-9297

NPI assigned

Sep 20, 2006

Last updated

Jul 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roy FlynnNPI 1083134837

Title

VP

Phone

(803) 968-7000

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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.

• Roy Norbert Flynn Jr.

  • Pharmacist
  • Sumter, SC
  • NPI 1083134837
  Authorized official Same address or phone
• Thomas Beam, PHARMD

  • Pharmacist
  • Gaffney, SC
  • NPI 1982126066
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1679670517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293403171",
            "telephone_number": "864-489-5198",
            "fax_number": "864-488-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293403171",
            "telephone_number": "864-489-5198",
            "fax_number": "864-488-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE MART OF GAFFNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "803-968-7000"
    },
    "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": "17352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717352",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170367",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Shannon McGuinn, FNP
• Joseph Mark McKowen, PT
• Grace McSwain
• Reginald Maurice Means II, PHARMD
• Medical Advanced Consulting LLC
• Meeting Milestones Early Intervention Services, LLC
• Kimberly B Meissner
• Kirstie Nicole Mensen
• Mentalyst Solutions, LLC
• John Michaels Jr., PTA

• Community/Retail Pharmacy in Gaffney, SC
• Providers in Gaffney, 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 Jul 24, 2024; 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.

Verify at the official NPI Registry.