Palmetto Pharmacy Online Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PALMETTO PHARMACY ONLINE INC

Practice address

1030 Oakland Ave Ste 101
Rock Hill, SC 29732-3074

Phone

(803) 981-4957

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Brandon Hall

Title

Owner

Phone

(803) 981-4957

Specialties & licenses 1

Addresses

Other names 1

• Palmetto Pharmacy Online Doing business as

Locations

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1730848003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 OAKLAND AVE STE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323074",
            "telephone_number": "803-981-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 OAKLAND AVE STE 101",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323074",
            "telephone_number": "803-981-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PHARMACY ONLINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-981-4957"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Pharmacy Online",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Palmetto Rehabilitation Specialists
• Palmetto Speech and Swallowing Therapy, LLC

• All providers in Rock Hill, SC
• Pharmacy in South Carolina

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