Orange Cut Rate Drug Store, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

50-001928 Issued in SC

Legal business name

ORANGE CUT RATE DRUG STORE, INC.

Practice address

1324 Grove Park NE
Orangeburg, SC 29115-2455

Phone

(803) 534-1164

Fax

(803) 536-2962

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles Paige Thompson Jr., RPH

Title

Owner

Phone

(803) 534-1164

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Grove Park Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in SC3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Orange Cut Rate Drug Store, Inc

  • General Practice Physician
  • Orangeburg, SC
  • NPI 1306326640

  4385704865

  Same PAC ID
• Orange Cut Rate Drug Store, Inc.

  • Pharmacy
  • Orangeburg, SC
  • NPI 1558366930

  4385704865

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Orange Cut Rate Drug Store, Inc.

  • Pharmacy
  • Orangeburg, SC
  • NPI 1558366930

  O20100930077412

  Same enrollment

Tax ID family

Grove Park 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.

• Orange Cut Rate Drug Store, Inc

  • General Practice Physician
  • Orangeburg, SC
  • NPI 1306326640
  NPD tax ID
• Orange Cut Rate Drug Store, Inc.

  • Pharmacy
  • Orangeburg, SC
  • NPI 1417952425
  NPD tax ID

Locations

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1831373067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291160701",
            "telephone_number": "803-534-1164",
            "fax_number": "803-536-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 GROVE PARK NE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291152455",
            "telephone_number": "803-534-1164",
            "fax_number": "803-536-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE CUT RATE DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-534-1164",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50-001928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN2072",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "619281",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DPE090",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grove Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.