NPIMap

Organization Active NPI

McLeod Regional Medical Center of the Pee Dee, Inc

Doing business as McLeod Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
National Provider Identifier
1871775841
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6273 Issued in SC
Legal business name
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Doing business as
McLeod Outpatient Pharmacy
Practice address
501 E Cheves St Ste D
Florence, SC 29506
Phone
(843) 777-2166
Fax
(843) 777-2950
NPI assigned
Dec 3, 2007
Last updated
Sep 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Mrs. Jessica Nicole Crowe Barnwell, PHARM D
Title
Director Outpatient Pharmacy
Phone
(843) 777-2166

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X 6273 SC Primary

Addresses

Primary practice location

501 E Cheves St Ste D
Florence, SC 29506

Mailing address

501 E Cheves St
Suite D
Florence, SC 29506
Phone (843) 777-2166

Other identifiers 1

IdentifierTypeStateIssuer
2089894OtherPK

Other names 1

  • MCLEOD OUTPATIENT PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141118000121 SC DME Supplier - Pharmacy 7416851852 Practice locations: Florence, SC
O20260302000407 SC Part B Supplier - Pharmacy 7416851852 Practice locations: Florence, SC

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Anesthesia Service39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

807 N 6th Ave
Dillon, SC 29536
Phone (843) 487-1371

1001 W Sumter St
Florence, SC 29501
Phone (843) 676-1400

101 William H Johnson St
Ste 300
Florence, SC 29506
Phone (843) 777-5701

101 William H Johnson St
Ste 460
Florence, SC 29506
Phone (843) 777-5827

401 E Cheves St
Ste 101
Florence, SC 29506

440 2nd Loop Rd
Florence, SC 29505
Phone (843) 777-4065

501 E Cheves St
#D
Florence, SC 29506
Phone (843) 777-2166

501 E Cheves St
Ste D
Florence, SC 29506
Phone (843) 777-2166

611 2nd Loop Rd
Florence, SC 29505
Phone (843) 777-2800

800 E Cheves St
Ste 200
Florence, SC 29506
Phone (843) 662-1502

825 E Cheves St
Florence, SC 29506
Phone (843) 777-2900

1319 S 4th St
Ste 100
Hartsville, SC 29550
Phone (843) 639-8390

3781 McDowell Ln
Ste 100
Little River, SC 29566
Phone (843) 390-8110

3781 McDowell Ln
Ste 120
Little River, SC 29566
Phone (843) 366-2760

3781 McDowell Ln
Ste 130
Little River, SC 29566
Phone (843) 366-2724

3781 McDowell Ln
Ste 200
Little River, SC 29566
Phone (843) 366-3891

3781 McDowell Ln
Ste 205
Little River, SC 29566
Phone (843) 366-3898

3781 Sea Mountain Hwy
Little River, SC 29566
Phone (843) 390-8316

4000 Highway 9 E
Ste 2700
Little River, SC 29566
Phone (843) 366-3673

619 S Mill St
Manning, SC 29102
Phone (803) 433-3050

1295 Wilson Hall Rd
Sumter, SC 29150
Phone (803) 905-6800

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of the Pee DeeFlorence, SC, CCN 421516 Hospice 5% Or Greater Direct Ownership Interest Jul 3, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 892

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.

View all 892

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1871775841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E CHEVES ST",
            "address_2": "SUITE D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-777-2166",
            "fax_number": "843-777-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E CHEVES ST STE D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "843-777-2166",
            "fax_number": "843-777-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "BARNWELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NICOLE CROWE",
        "authorized_official_title_or_position": "DIRECTOR OUTPATIENT PHARMACY",
        "authorized_official_telephone_number": "843-777-2166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "6273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLEOD OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCLEOD OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.