Organization Active NPI

Bridges & James Inc

Doing business as Wannamaker Drug

  • Community/Retail Pharmacy
  • Chesterfield, SC
National Provider Identifier
1730311432
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10498 Issued in SC
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Jonathan BridgesNPI 1437873569
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0920550002OtherSCMEDICARE PTAN
4229084OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Wannamaker Drug Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2233393Wannamaker Drug107 West Blvd, Chesterfield, SC 29709Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.