Active NPI
Med Center Pharmacy & Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Darlington, SC
National Provider Identifier
1750376422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MED CENTER PHARMACY & MEDICAL SUPPLY LLC
- Practice address
- 209 Russell Street
Darlington, SC 29532 - Phone
- (843) 398-7006
- Fax
- (843) 398-7017
- NPI assigned
- Sep 19, 2005
- Last updated
- Jul 14, 2008
- 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
- Mrs. Susan D Weesner
- Title
- Cfo
- Phone
- (843) 395-8971
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 20056062 | SC | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
209 Russell Street
Darlington, SC 29532
Mailing address
209 Russell Street
Darlington, SC 29532
Phone (843) 398-7006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 559023 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
209 Russell St
Darlington, SC 29532
Phone (843) 398-7006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1750376422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 RUSSELL STREET",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "29532",
"telephone_number": "843-398-7006",
"fax_number": "843-398-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 RUSSELL STREET",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "29532",
"telephone_number": "843-398-7006",
"fax_number": "843-398-7017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED CENTER PHARMACY & MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-19",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "WEESNER",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "843-395-8971",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "SC",
"license": "20056062",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "559023",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darlington, SC
- McLeod Regional Medical Center of the Pee Dee, Inc. (McLeod Medical Center - Darlington)
- Sentrella McPhail
- Jackson Lane McRae, RN, BSN
- Med Atlantic Medical Transport LLC (Med Atlantic LLC)
- Med Center Pharmacy & Medical Supply LLC (Med Center LTC Pharmacy)
- Med-Center Pharmacy & Medical Supply LLC (Medical Center Pharmacy and Medical Supply)
- Medford Nursing Center LLC
- Medic of South Carolina, LLC
- Medone Medical Transport, LLC
- Isabel Mendoza, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.