Organization Active NPI

Medical Court Pharmacy,Inc.

  • Community/Retail Pharmacy
  • Sumter, SC
National Provider Identifier
1841248606
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50001271 Issued in SC
Legal business name
MEDICAL COURT PHARMACY,INC.
Practice address
776 W Liberty St
Sumter, SC 29150-4748
Phone
(803) 773-5605
Fax
(803) 773-5605
NPI assigned
May 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Larry Dean Bradley, R.PH.
Title
Pharmacist/Owner
Phone
(803) 773-5605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50001271 SC Primary

Addresses

Primary practice location

776 W Liberty St
Sumter, SC 29150-4748

Mailing address

776 W Liberty St
Sumter, SC 29150-4748
Phone (803) 773-5605

Other identifiers 1

IdentifierTypeStateIssuer
712718MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841248606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 W LIBERTY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504748",
            "telephone_number": "803-773-5605",
            "fax_number": "803-773-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 W LIBERTY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504748",
            "telephone_number": "803-773-5605",
            "fax_number": "803-773-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL COURT PHARMACY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "803-773-5605",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50001271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "712718",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, 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.