NPIMap

Organization Active NPI

Lake Murray Health and Wellness, LLC

Doing business as Lake Murray Drug Company of Irmo

  • Long Term Care Pharmacy
  • Irmo, SC
National Provider Identifier
1760266340
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LAKE MURRAY HEALTH AND WELLNESS, LLC
Doing business as
Lake Murray Drug Company of Irmo
Practice address
2 Palmetto Wood Pkwy Ste 100
Irmo, SC 29063-2956
Phone
(803) 212-9999
Fax
(803) 769-3232
NPI assigned
Aug 23, 2023
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Justin Palmer CarterNPI 1538462072
Title
Owner
Phone
(803) 345-9999

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2 Palmetto Wood Pkwy Ste 100
Irmo, SC 29063-2956

Mailing address

2 Palmetto Wood Pkwy Ste 100
Irmo, SC 29063-2956
Phone (803) 212-9999

Other names 1

  • Lake Murray Drug Company of Irmo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake Murray Drug Company of Irmo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Palmetto Wood Pkwy
Ste 100
Irmo, SC 29063
Phone (803) 212-9999

Practitioners & affiliated clinicians

Practitioners 1

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": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1760266340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PALMETTO WOOD PKWY STE 100",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632956",
            "telephone_number": "803-212-9999",
            "fax_number": "803-769-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PALMETTO WOOD PKWY STE 100",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632956",
            "telephone_number": "803-212-9999",
            "fax_number": "803-769-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MURRAY HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "PALMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-345-9999"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Murray Drug Company of Irmo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.