Generx Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

50003585 Issued in SC

Legal business name

GENERX PHARMACY

Practice address

429 E Boundary St
Chapin, SC 29036-8388

Phone

(803) 345-0708

Fax

(803) 345-0057

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Louetta A Slice

Title

Owner

Phone

(803) 345-0708

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1891830899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E BOUNDARY ST",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368388",
            "telephone_number": "803-345-0708",
            "fax_number": "803-345-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E BOUNDARY ST",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368388",
            "telephone_number": "803-345-0708",
            "fax_number": "803-345-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "SLICE",
        "authorized_official_first_name": "LOUETTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-345-0708",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "50003585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "735856",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather L. Frederick, PT
• Terri W Frick, BS RPH
• G V Long D. C.
• Gladys McDaniel Gaillard-McBride
• Louis Joseph Gallagher, PH.D.
• Monika Georgia, RBT
• Koskie Gibson
• Gimme Five, PLLC
• Macie Reagan Goodman, PHARMD
• Sharonda Gordon

• Long Term Care Pharmacy in Chapin, SC
• Providers in Chapin, SC by specialty
• Long Term Care Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.