Organization Active NPI

Medical Center Pharmacy, Inc.

  • Pharmacist
  • Aiken, SC
National Provider Identifier
1811025869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50003478 Issued in SC
Legal business name
MEDICAL CENTER PHARMACY, INC.
Practice address
410 University Pkwy
Suite 2800
Aiken, SC 29801-6810
Phone
(803) 648-2985
Fax
(803) 648-0120
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Delleney Holley, RPH
Title
President
Phone
(803) 648-2985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 50003478 SC Primary

Addresses

Primary practice location

410 University Pkwy
Suite 2800
Aiken, SC 29801-6810

Mailing address

410 University Pkwy
Suite 2800
Aiken, SC 29801-6810
Phone (803) 648-2985

Other identifiers 1

IdentifierTypeStateIssuer
719971MedicaidSC

National Provider Directory

National Provider Directory

Locations

410 University Pkwy
Ste 2800
Aiken, SC 29801
Phone (803) 648-2985

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811025869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "SUITE 2800",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016810",
            "telephone_number": "803-648-2985",
            "fax_number": "803-648-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY",
            "address_2": "SUITE 2800",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016810",
            "telephone_number": "803-648-2985",
            "fax_number": "803-648-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DELLENEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-648-2985",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "50003478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719971",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.