Organization Active NPI

Michael L Thompson Dba Bridgers Drug Store

  • Durable Medical Equipment & Medical Supplies
  • Marion, SC
National Provider Identifier
1851591382
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
50001508 Issued in SC
Legal business name
MICHAEL L THOMPSON DBA BRIDGERS DRUG STORE
Practice address
305 N Main St
Marion, SC 29571-3027
Phone
(843) 423-2682
Fax
(843) 423-2429
NPI assigned
Jul 23, 2007
Last updated
Jul 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Mrs. Kelli T Noland
Title
Office Manager
Phone
(843) 423-2682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50001508 SC Primary

Addresses

Primary practice location

305 N Main St
Marion, SC 29571-3027

Mailing address

305 N Main St
PO Box 850
Marion, SC 29571-3027
Phone (843) 423-2682

Other identifiers 1

IdentifierTypeStateIssuer
EN2018MedicaidSC

National Provider Directory

National Provider Directory

Locations

305 N Main St
Marion, SC 29571
Phone (843) 423-2682

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1851591382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N MAIN ST",
            "address_2": "PO BOX 850",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295713027",
            "telephone_number": "843-423-2682",
            "fax_number": "843-423-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N MAIN ST",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295713027",
            "telephone_number": "843-423-2682",
            "fax_number": "843-423-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L THOMPSON DBA BRIDGERS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "NOLAND",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-423-2682",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50001508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EN2018",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.