Active NPI
Parks Pharmacy West
- Compounding Pharmacy
- North Augusta, SC
National Provider Identifier
1679997159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 4948
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2091709 | Other | PK |
Other names 1
- PARKS PHARMACY WEST
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- North Augusta, SC
- NPI 1285274290
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.