Organization Active NPI

Med Center Pharmacy & Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Darlington, SC
National Provider Identifier
1750376422
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
559023MedicaidSC

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.