Organization Active NPI

MMRX of Easley Inc

  • Community/Retail Pharmacy
  • Easley, SC
National Provider Identifier
1861466807
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7176 Issued in SC
Legal business name
MMRX OF EASLEY INC
Doing business as
FRIERSONS DRUG STORE
Practice address
101 W Main St
Easley, SC 29640-2038
Phone
(864) 859-4015
Fax
(864) 859-3396
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Michael Muir, RPH
Title
President
Phone
(864) 859-4015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 7176 SC Primary

Addresses

Primary practice location

101 W Main St
Easley, SC 29640-2038

Mailing address

101 W Main St
Easley, SC 29640-2038
Phone (864) 859-4015

Other identifiers 3

IdentifierTypeStateIssuer
771763MedicaidSC
4203876OtherNCPDP PROVIDER IDENTIFICATION NUMBER
605223MedicaidSC

Other names 1

  • FRIERSONS DRUG STORE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1861466807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402038",
            "telephone_number": "864-859-4015",
            "fax_number": "864-859-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402038",
            "telephone_number": "864-859-4015",
            "fax_number": "864-859-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMRX OF EASLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "MUIR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-859-4015",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "7176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "771763",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4203876",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605223",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRIERSONS DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.