NPIMap

Organization Active NPI

Bridges & James, Inc

Doing business as Wannamaker Drug

  • Community/Retail Pharmacy
  • Cheraw, SC
National Provider Identifier
1922049816
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2400 Issued in SC
Legal business name
BRIDGES & JAMES, INC
Doing business as
Wannamaker Drug
Practice address
700 Chesterfield Hwy
Cheraw, SC 29520-7001
Phone
(843) 537-9550
Fax
(843) 537-9550
NPI assigned
Jun 9, 2006
Last updated
Feb 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Jonathan Christopher Bridges
Title
Owner
Phone
(843) 537-3221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 2400 SC
Community/Retail Pharmacy 3336C0003X 2400 SC Primary

Addresses

Primary practice location

700 Chesterfield Hwy
Cheraw, SC 29520-7001

Mailing address

PO Box 488
Cheraw, SC 29520-0488
Phone (843) 537-9550

Other identifiers 2

IdentifierTypeStateIssuer
7703873MedicaidNC
DME 178MedicaidSC

Other names 1

  • WANNAMAKER DRUG Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930020128 SC DME Supplier - PharmacyDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 5597885186 Practice locations: Cheraw, SC
O20101124000578 SC Part B Supplier - Mass Immunization (Roster Biller Only) 5597885186 1 other NPI on this enrollment
Practice locations: Chesterfield, SC; Cheraw, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bridges James Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

700 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 537-3221

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1922049816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295200488",
            "telephone_number": "843-537-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHESTERFIELD HWY",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295207001",
            "telephone_number": "843-537-9550",
            "fax_number": "843-537-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGES & JAMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-537-3221"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "2400",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "2400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703873",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME 178",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WANNAMAKER DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WANNAMAKER DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheraw, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.