Walterboro Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WALTERBORO PHARMACY LLC

Practice address

1315 N Jefferies Blvd
Walterboro, SC 29488-2732

Phone

(843) 782-4050

Fax

(843) 782-3291

NPI assigned

Jul 1, 2020

Organization subpart

No

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

Authorized official

Name

Jeremy Michael Simmons, PHARMD

Title

Owner

Phone

(843) 729-5583

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1740807288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N JEFFERIES BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882732",
            "telephone_number": "843-782-4050",
            "fax_number": "843-782-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N JEFFERIES BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882732",
            "telephone_number": "843-782-4050",
            "fax_number": "843-782-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERBORO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-729-5583",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walterboro Community Hospital, Inc.
• Walterboro Community Hospital, Inc.
• Walterboro Community Hospital, Inc.
• Walterboro Community Hospital, Inc.
• Walterboro Family Practice Associates, P.a.
• Walterboro Physical Therapy Works LLC
• Walterboro Wellness, LLC
• Ashley Elaine Ward, FNP
• John Comer Watts IV
• Tara Nicole Weinstein, OTD, OTR/L

• Community/Retail Pharmacy in Walterboro, SC
• Providers in Walterboro, 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 Mar 24, 2023; 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.