NPIMap

Organization Active NPI

MJW Corporation

  • 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
Practice address
110 Price Avenue
Aiken, SC 29803-7395
Phone
(803) 648-1313
Fax
(803) 649-9494
NPI assigned
Oct 6, 2005
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.
Title
Pharmacist-Owner
Phone
(803) 599-1776

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 identifiers 3

IdentifierTypeStateIssuer
4225050OtherSCNABP AIKEN CMPD PHAR
50-007327OtherSCPHARM LICENSE- SC
50-007327OtherSCSC LLR PHARMACY BD

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.

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP AIKEN CMPD PHAR",
            "identifier": "4225050",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARM LICENSE- SC",
            "identifier": "50-007327",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LLR PHARMACY BD",
            "identifier": "50-007327",
            "state": "SC"
        }
    ],
    "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.