Presbyterian College Community Care Pharmacy

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

13299 Issued in SC

Legal business name

PRESBYTERIAN COLLEGE COMMUNITY CARE PHARMACY

Practice address

307 N Broad St
Clinton, SC 29325-2305

Phone

(864) 938-3932

Fax

(888) 972-4548

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Susan Maddux

Title

Vice President for Finance and Admi

Phone

(864) 833-8205

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PC Community Care Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1831695626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252305",
            "telephone_number": "864-938-3932",
            "fax_number": "888-972-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252305",
            "telephone_number": "864-938-3932",
            "fax_number": "888-972-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN COLLEGE COMMUNITY CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "MADDUX",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "VICE PRESIDENT FOR FINANCE AND ADMI",
        "authorized_official_telephone_number": "864-833-8205"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "SC",
            "license": "13299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PC Community Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Piedmont Regional Urology
• Kristal Smith Pitts
• Molly Pitts, OTR/L
• Pragma Home Healthcare LLC
• Presbyterian College
• Presbyterian Communities of South Carolina
• Aaron Lee Price
• David Leslie Price, CRNA
• Prisma Health-Upstate
• Prisma Health-Upstate

• Clinic Pharmacy in Clinton, SC
• Providers in Clinton, SC by specialty
• Clinic Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.