Organization Active NPI

Holy City Pharmacy, LLC

  • Community/Retail Pharmacy
  • Johns Island, SC
National Provider Identifier
1720815467
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HOLY CITY PHARMACY, LLC
Practice address
1178 Bees Ferry Rd Ste 102C
Johns Island, SC 29455-8381
Phone
(854) 465-6337
Fax
(854) 465-6339
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Sherry Shea PhillipsNPI 1962722843
Title
Owner/Pharmacist
Phone
(843) 762-8155

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1178 Bees Ferry Rd Ste 102C
Johns Island, SC 29455-8381

Mailing address

1178 Bees Ferry Rd
Ste 102C
Johns Island, SC 29455

Other names 1

  • Holy City Pharmacy, LLC West Ashley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250414000068 SC Part B Supplier - Pharmacy 8123367216 Practice locations: Johns Island, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Holy City Pharmacy LLC2 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.

Locations

1178 Bees Ferry Rd
Ste 102C
Johns Island, SC 29455
Phone (854) 465-6337

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1720815467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 BEES FERRY RD",
            "address_2": "STE 102C",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "29455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 BEES FERRY RD STE 102C",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558381",
            "telephone_number": "854-465-6337",
            "fax_number": "854-465-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CITY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "843-762-8155"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy City Pharmacy, LLC West Ashley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.