Organization Active NPI

Parks Pharmacy West

  • Compounding Pharmacy
  • North Augusta, SC
National Provider Identifier
1679997159
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
4948 Issued in SC
Legal business name
PARKS PHARMACY WEST
Practice address
437 Georgia Ave
North Augusta, SC 29841-3851
Phone
(803) 279-7390
Fax
(803) 278-3018
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Karen Powell, BS PHARMACY
Title
Pic
Phone
(803) 279-7390

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X 4948 SC Primary

Addresses

Primary practice location

437 Georgia Ave
North Augusta, SC 29841-3851

Mailing address

437 Georgia Ave
North Augusta, SC 29841-3851
Phone (803) 279-7390

Other identifiers 1

IdentifierTypeStateIssuer
2091709OtherPK

Other names 1

  • PARKS PHARMACY WEST Doing business as

National Provider Directory

National Provider Directory

Locations

437 Georgia Ave
North Augusta, SC 29841
Phone (803) 279-7390

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": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1679997159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 GEORGIA AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413851",
            "telephone_number": "803-279-7390",
            "fax_number": "803-278-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 GEORGIA AVE",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413851",
            "telephone_number": "803-279-7390",
            "fax_number": "803-278-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKS PHARMACY WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "803-279-7390",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "4948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2091709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKS PHARMACY WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.