Active NPI
Oakridge Community Care Home Inc
- Long Term Care Pharmacy
- Inman, SC
National Provider Identifier
1699229757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- OAKRIDGE COMMUNITY CARE HOME INC
- Doing business as
- Oakridge Care Pharmacy
- Practice address
- 2470 Old Mill Rd
Inman, SC 29349-9276 - Phone
- (864) 708-3477
- NPI assigned
- Aug 6, 2016
- Organization subpart
- Yes
- Parent organization
- OAKRIDGE COMMUNITY CARE HOME INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darryl Alan Mast, RPH
- Title
- Pharmacist
- Phone
- (864) 708-3477
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
2470 Old Mill Rd
Inman, SC 29349-9276
Mailing address
2470 Old Mill Rd
Inman, SC 29349-9276
Phone (864) 621-4958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 717512 | Medicaid | SC |
Other names 1
- Oakridge Care Pharmacy
National Provider Directory
National Provider Directory- Part of
- Oakridge Community Care Home Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community Health Clinic/Center
- Inman, SC
- NPI 1043655319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581033600000",
"number": "1699229757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 OLD MILL RD",
"city": "INMAN",
"state": "SC",
"postal_code": "293499276",
"telephone_number": "864-621-4958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 OLD MILL RD",
"city": "INMAN",
"state": "SC",
"postal_code": "293499276",
"telephone_number": "864-708-3477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKRIDGE COMMUNITY CARE HOME INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OAKRIDGE COMMUNITY CARE HOME INC",
"enumeration_date": "2016-08-06",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A",
"authorized_official_last_name": "MAST",
"authorized_official_first_name": "DARRYL",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "864-708-3477",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "717512",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oakridge Care Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Oakridge Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Inman, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.