Palmetto Custom Compounding

Primary specialty

PharmacistTaxonomy code 183500000X

License

7012 Issued in SC

Legal business name

PALMETTO CUSTOM COMPOUNDING

Practice address

107 Rutledge Ave
Charleston, SC 29401-1332

Phone

(843) 723-5343

Fax

(843) 723-5344

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Leonard Mel Rauton Jr., R.PH.

Title

Owner/Pharmacist

Phone

(843) 723-5343

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prescription Center, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1760620108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RUTLEDGE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011332",
            "telephone_number": "843-723-5343",
            "fax_number": "843-723-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RUTLEDGE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011332",
            "telephone_number": "843-723-5343",
            "fax_number": "843-723-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO CUSTOM COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "RAUTON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "MEL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "843-723-5343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "7012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "5010268",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Palmetto Behavioral Health Solutions, LLC
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• Palmetto Cardiovascular and Thoracic Assoc PA
• Palmetto Care Services of S.C.
• Palmetto Creative Dentistry of Mt. Pleasant LLC
• Palmetto Digestive Disease PA
• Palmetto Endoscopy Center LLC
• Palmetto Health Psychology LLC
• Palmetto Home Healthcare
• Palmetto in Homern

• Pharmacist in Charleston, SC
• Providers in Charleston, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.