Active NPI
White Pine Land Company Inc
Doing business as Suprx Pharmacy #80
- Community/Retail Pharmacy
- Andrews, SC
National Provider Identifier
1861820896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 13360
- Legal business name
- WHITE PINE LAND COMPANY INC
- Doing business as
- Suprx Pharmacy #80
- Practice address
- 15 West Ashland Street
Andrews, SC 29510 - Phone
- (843) 264-3291
- Fax
- (843) 264-5425
- NPI assigned
- Oct 30, 2013
- Last updated
- Oct 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Holly Morgan Fralix, PHARMD
- Title
- Pharmacist / Pic
- Phone
- (843) 264-3291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 13360 | SC | Primary |
Addresses
Primary practice location
15 West Ashland Street
Andrews, SC 29510
Mailing address
15 West Ashland Street
Andrews, SC 29510
Phone (843) 264-3291
Other names 1
- Suprx Pharmacy #80
National Provider Directory
National Provider Directory- Tax ID family
- Andrews RX
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
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.
-
- Pharmacist
- Holly Hill, SC
- NPI 1710310735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383091200000",
"number": "1861820896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WEST ASHLAND STREET",
"city": "ANDREWS",
"state": "SC",
"postal_code": "29510",
"telephone_number": "843-264-3291",
"fax_number": "843-264-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 WEST ASHLAND STREET",
"city": "ANDREWS",
"state": "SC",
"postal_code": "29510",
"telephone_number": "843-264-3291",
"fax_number": "843-264-5425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE PINE LAND COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-30",
"last_updated": "2013-10-30",
"status": "A",
"authorized_official_last_name": "FRALIX",
"authorized_official_first_name": "HOLLY",
"authorized_official_middle_name": "MORGAN",
"authorized_official_title_or_position": "PHARMACIST / PIC",
"authorized_official_telephone_number": "843-264-3291",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "13360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suprx Pharmacy #80",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Andrews, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.