Active NPI
South Carolina Erica, Inc
- Pharmacist
- San Angelo, TX
National Provider Identifier
1821172941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20355
- Legal business name
- SOUTH CAROLINA ERICA, INC
- Practice address
- 2 S Main St
San Angelo, TX 76903-5927 - Phone
- (325) 658-6551
- Fax
- (325) 655-7218
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Joyce Roe, RPH
- Title
- Director
- Phone
- (325) 658-6551
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20355 | TX | Primary |
Addresses
Primary practice location
2 S Main St
San Angelo, TX 76903-5927
Mailing address
2 S Main St
San Angelo, TX 76903-5927
Phone (325) 658-6551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144960 | Medicaid | TX |
Other names 1
- food basket pharmacy #5
National Provider Directory
National Provider Directory- Tax ID family
- Food Basket Pharmacy 4
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- San Angelo, TX
- NPI 1962554592
-
- Pharmacist
- Alpine, TX
- NPI 1891846879
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- San Angelo, TX
- NPI 1861576969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821172941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 S MAIN ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035927",
"telephone_number": "325-658-6551",
"fax_number": "325-655-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 S MAIN ST",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035927",
"telephone_number": "325-658-6551",
"fax_number": "325-655-7218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CAROLINA ERICA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROE",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "325-658-6551",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "20355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144960",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "food basket pharmacy #5",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Angelo, TX
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.