NPIMap

Organization Active NPI

MJW Corporation

Doing business as Aiken Compounding Pharmacy

  • Compounding Pharmacy
  • Aiken, SC
National Provider Identifier
1720076540
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
50-007327 Issued in SC
Legal business name
MJW CORPORATION
Doing business as
Aiken Compounding Pharmacy
Practice address
110 Price Avenue
Aiken, SC 29803-7395
Phone
(803) 648-1313
Fax
(803) 649-9494
NPI assigned
Oct 6, 2005
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MJW CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Mr. James Robert Watts II, R.PH.NPI 1437146347
Title
Pharmacist-Owner
Phone
(803) 599-1776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 4225050 SC
Compounding Pharmacy 3336C0004X 50-007327 SC Primary

Addresses

Primary practice location

110 Price Avenue
Aiken, SC 29803-7395

Mailing address

110 Price Avenue
Aiken, SC 29803-7395
Phone (803) 648-1313

Other names 1

  • Aiken Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wagener Family Pharmacy5 organizations share this tax ID, including this one
Part of
Wagener Family Pharmacy

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1720076540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PRICE AVENUE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037395",
            "telephone_number": "803-648-1313",
            "fax_number": "803-649-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PRICE AVENUE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037395",
            "telephone_number": "803-648-1313",
            "fax_number": "803-649-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJW CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MJW CORPORATION",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST-OWNER",
        "authorized_official_telephone_number": "803-599-1776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "4225050",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "50-007327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aiken Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.