Active NPI
Bridges & James Inc
Doing business as Wannamaker Drug
- Community/Retail Pharmacy
- Chesterfield, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10498
- Legal business name
- BRIDGES & JAMES INC
- Doing business as
- Wannamaker Drug
- Practice address
- 107 West Blvd
Chesterfield, SC 29709-1528 - Phone
- (843) 623-2999
- Fax
- (843) 623-3615
- NPI assigned
- Aug 13, 2009
- Last updated
- Feb 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Bridges
- Title
- Owner/President
- Phone
- (843) 537-3221
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 10498 | SC | Primary |
Addresses
Primary practice location
107 West Blvd
Chesterfield, SC 29709-1528
Mailing address
PO Box 527
Chesterfield, SC 29709-0527
Phone (843) 623-2999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0920550002 | Other | SC | MEDICARE PTAN |
| 4229084 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Wannamaker Drug
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101124000578 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5597885186 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chesterfield, SC; Cheraw, SC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Wannamaker Drug
- Community/Retail Pharmacy
- Cheraw, SC
- NPI 1922049816
O20101124000578
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2233393 | Wannamaker Drug | Certificate of waiver | Aug 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
700 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-3221
107 West Blvd
Chesterfield, SC 29709
Phone (843) 623-2999
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Cheraw, SC
- NPI 1437873569
-
- Pharmacist
- Chesterfield, SC
- NPI 1174820500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1730311432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 527",
"city": "CHESTERFIELD",
"state": "SC",
"postal_code": "297090527",
"telephone_number": "843-623-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WEST BLVD",
"city": "CHESTERFIELD",
"state": "SC",
"postal_code": "297091528",
"telephone_number": "843-623-2999",
"fax_number": "843-623-3615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES & JAMES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-13",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "BRIDGES",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "843-537-3221"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "10498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0920550002",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4229084",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wannamaker Drug",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wannamaker Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesterfield, SC
- Ivan Jermaine Belin, MA
- Leroy Dehaven Benjamin, RN
- Christina Biester
- Bio-Medical Applications of South Carolina, Inc. (Chesterfield County Dialysis)
- Rebecca E Black, RN
- Amelia Bryant, RN
- Heather Lussier Burley, SSP
- Donna R Burt, B A, MENTAL HEALTH C
- Candj Transportationllc
- Caresouth Carolina Inc (CSC Community Pharmacy -Chesterfield)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.