Organization Active NPI

Conway Pharmacy LLC

  • Pharmacy
  • Conway, SC
National Provider Identifier
1790306363
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CONWAY PHARMACY LLC
Practice address
1219 16TH Ave
Conway, SC 29526-3454
Phone
(843) 488-3535
Fax
(843) 488-3435
NPI assigned
May 5, 2020
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Magdy HannaNPI 1619298775
Title
Owner
Phone
(732) 266-9359

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1219 16TH Ave
Conway, SC 29526-3454

Mailing address

1219 16TH Ave
Conway, SC 29526-3454
Phone (843) 488-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200924003340 SC Part B Supplier - Mass Immunization (Roster Biller Only) 4789003740 Practice locations: Conway, SC
O20211015001427 SC DME Supplier - Pharmacy 4789003740 Practice locations: Conway, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Conway Pharmacy LLC1219 16TH Ave, Conway, SC 29526-3454(843) 488-3535 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 17, 2020

National Provider Directory

National Provider Directory

Locations

1219 16th Ave
Conway, SC 29526
Phone (843) 488-3535

1610 Church St
Ste C
Conway, SC 29526
Phone (843) 488-3535

Practitioners & affiliated clinicians

Practitioners 3

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": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1790306363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 16TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263454",
            "telephone_number": "843-488-3535",
            "fax_number": "843-488-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 16TH AVE",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263454",
            "telephone_number": "843-488-3535",
            "fax_number": "843-488-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-266-9359"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.