NPIMap

Organization Active NPI

Holly Street Drugs, LLC

Doing business as Holly Hill Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Holly Hill, SC
National Provider Identifier
1801927017
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOLLY STREET DRUGS, LLC
Doing business as
Holly Hill Pharmacy
Practice address
904 Holly St
Holly Hill, SC 29059
Phone
(803) 496-0007
Fax
(803) 496-0015
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Rachel Osteen
Title
PLC/Owner
Phone
(803) 496-0007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50007564 SC
Durable Medical Equipment & Medical Supplies 332B00000X SC Primary

Addresses

Primary practice location

904 Holly St
Holly Hill, SC 29059

Mailing address

PO Box 370
Holly Hill, SC 29059
Phone (803) 496-0007

Other identifiers 1

IdentifierTypeStateIssuer
DE2657MedicaidSC

Other names 1

  • Holly Hill Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Holly Hill Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1801927017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "29059",
            "telephone_number": "803-496-0007",
            "fax_number": "803-496-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 HOLLY ST",
            "city": "HOLLY HILL",
            "state": "SC",
            "postal_code": "29059",
            "telephone_number": "803-496-0007",
            "fax_number": "803-496-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY STREET DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "OSTEEN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PLC/OWNER",
        "authorized_official_telephone_number": "803-496-0007"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50007564",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2657",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holly Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.