Active NPI
Hartsville Drug Co., Inc.
- Durable Medical Equipment & Medical Supplies
- Hartsville, SC
National Provider Identifier
1891877338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 50000074
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600745 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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
- Elizabeth Harrelson, LPES
- Leigh Ann G. Harrigan, PA-C
- Hartsville Anesthesia Associates
- Hartsville Diagnostic Associates PA
- Hartsville Drug Co Inc
- Hartsville Eye Group PC
- Hartsville Family Chiropractic
- Hartsville Family Chiropractic
- Hartsville Family Dentistry
- Hartsville Family Dentistry Associates Inc
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.