Organization Active NPI

DTM Pharmacy, LLC

Doing business as DTM Pharmacy

  • Community/Retail Pharmacy
  • Greer, SC
National Provider Identifier
1851811921
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17292 Issued in SC
Legal business name
DTM PHARMACY, LLC
Doing business as
DTM Pharmacy
Practice address
127 Mills Ave
Suite 1
Greer, SC 29651-2514
Phone
(864) 879-4662
Fax
(864) 479-4938
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Vernon Motlow
Title
Office Manager
Phone
(864) 879-4662

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 17292 SC Primary

Addresses

Primary practice location

127 Mills Ave
Suite 1
Greer, SC 29651-2514

Mailing address

127 Mills Ave
Suite 1
Greer, SC 29651
Phone (864) 879-4662

Other identifiers 1

IdentifierTypeStateIssuer
2169912OtherPK

Other names 1

  • DTM Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

127 Mills Ave
Ste 1
Greer, SC 29651
Phone (864) 879-4662

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1851811921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MILLS AVE",
            "address_2": "SUITE 1",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29651",
            "telephone_number": "864-879-4662",
            "fax_number": "864-479-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MILLS AVE",
            "address_2": "SUITE 1",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296512514",
            "telephone_number": "864-879-4662",
            "fax_number": "864-479-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "MOTLOW",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-879-4662"
    },
    "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": "17292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DTM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.