Summerton Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8933 Issued in SC

Legal business name

SUMMERTON DRUGS INC

Doing business as

Summerton Drugs

Practice address

115 E Main St
Summerton, SC 29148-6904

Phone

(803) 485-8725

Fax

(803) 485-4306

NPI assigned

Dec 14, 2005

Last updated

Apr 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eugene Phillips

Title

Owner,Ao

Phone

(803) 485-8725

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUMMERTON DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

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.

• Alex Brammer, PHARMD

  • Pharmacist
  • Summerton, SC
  • NPI 1073966032
  NPD (past)
• Ernest Eugene Phillips III, PHARMD

  • Pharmacist
  • Summerton, SC
  • NPI 1306910997
  NPD (past)
• Ernest Eugene Phillips

  • Pharmacist
  • Summerton, SC
  • NPI 1477698447
  NPD (past)
• Harold R Waynick Jr.

  • Pharmacist
  • Summerton, SC
  • NPI 1619012697
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1891770574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "291480037",
            "telephone_number": "803-485-8725",
            "fax_number": "803-485-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "SUMMERTON",
            "state": "SC",
            "postal_code": "291486904",
            "telephone_number": "803-485-8725",
            "fax_number": "803-485-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERTON DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER,AO",
        "authorized_official_telephone_number": "803-485-8725"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "8933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088633",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719399",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMERTON DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linwood Ashwell Robinson Jr., DMD
• Mojgan Arjomand Sherman, MSPT
• Summerton Drugs Compounding and Dispensary
• Summerton Drugs Compounding and Dispensary
• Summerton Drugs Inc
• Summerton Family Medicine LLC
• Summerton Primary Care
• Harold R Waynick Jr.
• Sydney Wells, OTL/R
• Welvista (Summerton Smiles for a Lifetime)

• Community/Retail Pharmacy in Summerton, SC
• Providers in Summerton, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.