Pickwick Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16613 Issued in SC

Legal business name

PICKWICK PHARMACY INC

Doing business as

Pickwick Pharmacy

Practice address

3219 Augusta St
Greenville, SC 29605-2145

Phone

(864) 277-4180

Fax

(864) 277-4181

NPI assigned

Oct 26, 2006

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Ray, PHARM DNPI 1245829233

Title

Pharmacist

Phone

(864) 277-4180

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PICKWICK PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Ray, PHARMD

  • Pharmacist
  • Greenville, SC
  • NPI 1245829233
  NPD Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1922183987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 AUGUSTA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052145",
            "telephone_number": "864-277-4180",
            "fax_number": "864-277-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 AUGUSTA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052145",
            "telephone_number": "864-277-4180",
            "fax_number": "864-277-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKWICK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "864-277-4180",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "16613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2087915",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793691",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PICKWICK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlotte Addison Pickens, PT, DPT
• Ryan C Pickens
• Shayla Pickens, LISW-CP
• Suzanne Pickens
• Kim Anne Pickett, PHD, APRN
• Piedmont Arthritis Clinic PA
• Piedmont Comprehensive Pain Management Group LLC
• Piedmont Dental Center - Greenville, P.C.
• Piedmont Gastroneterology PA
• Piedmont Physical Medicine & Rehabilitation, P.a.

• Community/Retail Pharmacy in Greenville, SC
• Providers in Greenville, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.