Organization Active NPI

Hartsville Drug Co., Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hartsville, SC
National Provider Identifier
1891877338
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
50000074 Issued in SC
Legal business name
HARTSVILLE DRUG CO., INC.
Practice address
134 W Carolina Ave
Hartsville, SC 29550-4216
Phone
(843) 332-6581
Fax
(843) 332-7783
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Mr. Joe H McCullough Jr., R.PH
Title
President
Phone
(843) 332-6581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50000074 SC Primary

Addresses

Primary practice location

134 W Carolina Ave
Hartsville, SC 29550-4216

Mailing address

PO Box 158
Hartsville, SC 29551-0158
Phone (843) 332-6581

Other identifiers 1

IdentifierTypeStateIssuer
600745MedicaidSC

National Provider Directory

National Provider Directory

Locations

134 W Carolina Ave
Hartsville, SC 29550
Phone (843) 332-6581

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1891877338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295510158",
            "telephone_number": "843-332-6581",
            "fax_number": "843-332-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W CAROLINA AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504216",
            "telephone_number": "843-332-6581",
            "fax_number": "843-332-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSVILLE DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-332-6581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50000074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600745",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.