Organization Active NPI

Medcare Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Bennettsville, SC
National Provider Identifier
1700923117
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDCARE PHARMACY
Practice address
1114 Cottingham Blvd N
Suite B
Bennettsville, SC 29512-2856
Phone
(843) 479-7101
Fax
(843) 479-3561
NPI assigned
Feb 1, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Glenn Dowdy, RPHNPI 1942365523
Title
Owner
Phone
(843) 479-7101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC Primary
Pharmacy 333600000X SC

Addresses

Primary practice location

1114 Cottingham Blvd N
Suite B
Bennettsville, SC 29512-2856

Mailing address

1114 Cottingham Blvd N
Suite B
Bennettsville, SC 29512-2856
Phone (843) 479-7101

Other identifiers 2

IdentifierTypeStateIssuer
4224919OtherSCNABP NUMBER
DE2410MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191120002666 SC Part B Supplier - Mass Immunization (Roster Biller Only) 8224245352 Practice locations: Bennettsville, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1700923117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 COTTINGHAM BLVD N",
            "address_2": "SUITE B",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122856",
            "telephone_number": "843-479-7101",
            "fax_number": "843-479-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 COTTINGHAM BLVD N",
            "address_2": "SUITE B",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122856",
            "telephone_number": "843-479-7101",
            "fax_number": "843-479-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DOWDY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-479-7101",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4224919",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2410",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennettsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.