NPIMap

Organization Active NPI

M J W Corportation

Doing business as Family Pharmacy

  • Community/Retail Pharmacy
  • Aiken, SC
National Provider Identifier
1790772598
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2693 Issued in SC
Legal business name
M J W CORPORTATION
Doing business as
Family Pharmacy
Practice address
333 Newberry St NW
Aiken, SC 29801-3929
Phone
(803) 649-1776
Fax
(803) 641-0205
NPI assigned
Oct 5, 2005
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Brandi Nicole Johnson, PHARM DNPI 1427481928
Title
President/Owner/Pharmacist
Phone
(803) 648-1776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2693 SC Primary

Addresses

Primary practice location

333 Newberry St NW
Aiken, SC 29801-3929

Mailing address

333 Newberry St NW
Aiken, SC 29801-3929
Phone (803) 649-1776

Other names 1

  • FAMILY PHARMACY Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0952231Family Pharmacy333 Newberry Street NW, Aiken, SC 29801Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
M J W Corportation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

333 Newberry St NW
Aiken, SC 29801
Phone (803) 649-1776

Practitioners & affiliated clinicians

Practitioners 4

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1790772598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NEWBERRY ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013929",
            "telephone_number": "803-649-1776",
            "fax_number": "803-641-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NEWBERRY ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013929",
            "telephone_number": "803-649-1776",
            "fax_number": "803-641-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M J W CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PHARMACIST",
        "authorized_official_telephone_number": "803-648-1776",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "2693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.