Organization Active NPI

Lax LLC

  • Community/Retail Pharmacy
  • Lancaster, SC
National Provider Identifier
1851508477
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13764 Issued in SC
Legal business name
LAX LLC
Practice address
751 Hwy 9 Bypass W
Lancaster, SC 29720-4779
Phone
(803) 286-6262
Fax
(803) 286-0002
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Vipul Patel, RPH
Title
Owner, Pic
Phone
(803) 286-6262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 13764 SC Primary

Addresses

Primary practice location

751 Hwy 9 Bypass W
Lancaster, SC 29720-4779

Mailing address

108 N Woodland Dr Ste C
Lancaster, SC 29720-4779
Phone (803) 286-6262

Other identifiers 1

IdentifierTypeStateIssuer
2134380OtherPK

Other names 1

  • Lancaster Pharmacy & Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1851508477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N WOODLAND DR STE C",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204779",
            "telephone_number": "803-286-6262",
            "fax_number": "803-286-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 HWY 9 BYPASS W",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297204779",
            "telephone_number": "803-286-6262",
            "fax_number": "803-286-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "803-286-6262",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "13764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134380",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lancaster Pharmacy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lancaster Pharmacy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.