Lake Murray Health and Wellness, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LAKE MURRAY HEALTH AND WELLNESS, LLC

Doing business as

Lake Murray Drug Company of Irmo

Practice address

2 Palmetto Wood Pkwy Ste 100
Irmo, SC 29063-2956

Phone

(803) 212-9999

Fax

(803) 769-3232

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Justin Carter, PHARM.D.NPI 1538462072

Title

Owner/Pharmacist

Phone

(803) 212-9999

Specialties & licenses 1

Addresses

Other names 1

• Lake Murray Drug Company of Irmo Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Lake Murray Drug Company of Irmo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lake Murray Health and Wellness, LLC

  • Long Term Care Pharmacy
  • Irmo, SC
  • NPI 1760266340
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Palmer Carter

  • Pharmacist
  • Chapin, SC
  • NPI 1538462072
  NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1720668577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PALMETTO WOOD PKWY STE 100",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632956",
            "telephone_number": "803-212-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PALMETTO WOOD PKWY STE 100",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632956",
            "telephone_number": "803-212-9999",
            "fax_number": "803-769-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MURRAY HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "803-212-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Murray Drug Company of Irmo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kulbersh Women'S Center, LLC
• David L Kulbersh, M.D
• Delecia R Lafrance, MD
• Shannon Lafrance, MS
• Lake Murray Chiropractic LLC
• Lake Murray Health and Wellness, LLC
• Jeffrey Charles Lake, ATC
• Davinder Kaur Lally, M.D.
• Jimmy Lam
• Mary Elizabeth Ward Lambert, MD

• Community/Retail Pharmacy in Irmo, SC
• Providers in Irmo, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.