Organization Active NPI

Estill Community Pharmacy LLC

Doing business as Estill Community Pharmacy

  • Community/Retail Pharmacy
  • Estill, SC
National Provider Identifier
1750740460
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16394 Issued in SC
Legal business name
ESTILL COMMUNITY PHARMACY LLC
Doing business as
Estill Community Pharmacy
Practice address
137 Martin L King Jr Hwy N
Estill, SC 29918-5146
Phone
(803) 625-9001
NPI assigned
Feb 23, 2016
Last updated
Sep 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Dr. Heather Epton, PHARMD.NPI 1578019915
Title
Pharmacist in Charge/ Owner
Phone
(803) 625-9001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 16394 SC Primary

Addresses

Primary practice location

137 Martin L King Jr Hwy N
Estill, SC 29918-5146

Mailing address

PO Box 335
Estill, SC 29918-0335

Other names 1

  • Estill Community Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160713002172 SC Part B Supplier - Mass Immunization (Roster Biller Only) 2163714049 Practice locations: Estill, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1750740460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "ESTILL",
            "state": "SC",
            "postal_code": "299180335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MARTIN L KING JR HWY N",
            "city": "ESTILL",
            "state": "SC",
            "postal_code": "299185146",
            "telephone_number": "803-625-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTILL COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "EPTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/ OWNER",
        "authorized_official_telephone_number": "803-625-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "16394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Estill Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Estill Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Estill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.