Eutawville Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10116 Issued in SC

Legal business name

EUTAWVILLE PHARMACY

Doing business as

Delta of Eutawville

Practice address

226 Porcher Ave
Eutawville, SC 29048-8557

Phone

(803) 492-9201

Fax

(843) 899-4970

NPI assigned

Sep 4, 2008

Organization subpart

No

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

Authorized official

Name

Sherry Parsons

Title

Manager

Phone

(843) 761-5255

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Delta of Eutawville Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1740438647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613616",
            "telephone_number": "843-761-5255",
            "fax_number": "843-899-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 PORCHER AVE",
            "city": "EUTAWVILLE",
            "state": "SC",
            "postal_code": "290488557",
            "telephone_number": "803-492-9201",
            "fax_number": "843-899-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUTAWVILLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-761-5255"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "10116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta of Eutawville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Eutawville, SC
• Providers in Eutawville, 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 17, 2025; 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.