NPIMap

Organization Active NPI

Mobley Drugs, Inc.

  • Pharmacy
  • Lancaster, SC
National Provider Identifier
1912016593
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50-001658 Issued in SC
Legal business name
MOBLEY DRUGS, INC.
Practice address
1073 W Meeting St
Lancaster, SC 29720-2205
Phone
(803) 285-5555
Fax
(803) 285-7990
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
Mr. Hubert F. Mobley, R.PH
Title
Owner
Phone
(803) 285-2021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50-001658 SC Primary
Community/Retail Pharmacy 3336C0003X 50-001658 SC

Addresses

Primary practice location

1073 W Meeting St
Lancaster, SC 29720-2205

Mailing address

1073 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 285-2021

Other identifiers 2

IdentifierTypeStateIssuer
716580MedicaidSC
4211986OtherSCNCPDP BILLING

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170301000203 SC Part B Supplier - Mass Immunization (Roster Biller Only) 8426032822 Practice locations: Lancaster, SC
O20210224001555 SC Part B Supplier - Pharmacy 8426032822 Practice locations: Lancaster, SC

National Provider Directory

National Provider Directory
Tax ID family
Mobley Drugs Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1912016593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202205",
            "telephone_number": "803-285-2021",
            "fax_number": "803-285-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202205",
            "telephone_number": "803-285-5555",
            "fax_number": "803-285-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBLEY DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-285-2021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50-001658",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50-001658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716580",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP BILLING",
            "identifier": "4211986",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.