NPIMap

Organization Active NPI

Community Medicine Foundation

Doing business as Community Medicine Pharmacy

  • Community/Retail Pharmacy
  • Rock Hill, SC
National Provider Identifier
1912198623
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COMMUNITY MEDICINE FOUNDATION
Doing business as
Community Medicine Pharmacy
Practice address
423 Saluda Street
Rock Hill, SC 29730-5776
Phone
(803) 412-3352
Fax
(803) 412-3353
NPI assigned
Aug 7, 2007
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Mr. Ernest G. Brown
Title
Ceo
Phone
(803) 325-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

423 Saluda Street
Rock Hill, SC 29730-5776

Mailing address

423 Saluda Street P. O. Box 28
Rock Hill, SC 29731-6028
Phone (803) 412-3352

Other identifiers 1

IdentifierTypeStateIssuer
795622MedicaidSC

Other names 1

  • COMMUNITY MEDICINE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Medicine Foundation Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

423 Saluda St
Rock Hill, SC 29730
Phone (803) 412-3352

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1912198623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 SALUDA STREET P. O. BOX 28",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297316028",
            "telephone_number": "803-412-3352",
            "fax_number": "803-412-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 SALUDA STREET",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305776",
            "telephone_number": "803-412-3352",
            "fax_number": "803-412-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICINE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-325-7744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "795622",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY MEDICINE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMUNITY MEDICINE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.