Jack P. Padgett Jr.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JACK P. PADGETT JR.

Doing business as

Padgett's Drive in Pharmacy

Practice address

540 North St
Bamberg, SC 29003-1319

Phone

(803) 245-4298

Fax

(803) 245-1232

NPI assigned

Oct 23, 2006

Last updated

Dec 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Pershing Padgett Jr., RPHNPI 1194711689

Title

Pharmacist

Phone

(803) 245-4298

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PADGETT'S DRIVE IN PHARMACY Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Pershing Padgett Jr., BS, RPH

  • Pharmacist
  • Bamberg, SC
  • NPI 1194711689
  NPD (past) Authorized official
• Richard Bernard Gunter, RPH

  • Pharmacist
  • Bamberg, SC
  • NPI 1861610537
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1851474100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031319",
            "telephone_number": "803-245-4298",
            "fax_number": "803-245-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031319",
            "telephone_number": "803-245-4298",
            "fax_number": "803-245-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK P. PADGETT JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "PADGETT",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "PERSHING",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "803-245-4298",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "5001664",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716647",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4202329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PADGETT'S DRIVE IN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Hoffman, FNP-C
• Tonie Anthony Holman Sr.
• Alexander Hovey, PA-C
• Krysty Still Hutto, AARN
• Bonnie Inabinet, RN
• Ernest Gary Jeffords, DMD
• James B. Jeffries, R.PH.
• Kiara Jenkins, PMHNP-BC
• Shelidonna Jennings, LPN
• Cindy Jones, RN

• Community/Retail Pharmacy in Bamberg, SC
• Providers in Bamberg, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.