Organization Active NPI

Palmetto Drugs Incorporated

Doing business as Palmetto Drugs

  • Community/Retail Pharmacy
  • Union, SC
National Provider Identifier
1942246434
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3065 Issued in SC
Legal business name
PALMETTO DRUGS INCORPORATED
Doing business as
Palmetto Drugs
Practice address
105 Lakeside Dr
Union, SC 29379-1927
Phone
(864) 427-1248
Fax
(864) 427-1249
NPI assigned
Jun 21, 2006
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Robert Hope, RPH
Title
Owner
Phone
(864) 427-1248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 3065 SC Primary

Addresses

Primary practice location

105 Lakeside Dr
Union, SC 29379-1927

Mailing address

PO Box 145
Union, SC 29379-0145
Phone (864) 427-1248

Other identifiers 2

IdentifierTypeStateIssuer
4208876OtherNCPDP PROVIDER IDENTIFICATION NUMBER
730650MedicaidSC

Other names 1

  • PALMETTO DRUGS Doing business as

National Provider Directory

National Provider Directory

Locations

105 Lakeside Dr
Union, SC 29379
Phone (864) 427-1248

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1942246434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293790145",
            "telephone_number": "864-427-1248",
            "fax_number": "864-427-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAKESIDE DR",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293791927",
            "telephone_number": "864-427-1248",
            "fax_number": "864-427-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO DRUGS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "HOPE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-427-1248",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "3065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4208876",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730650",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMETTO DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.