Bishopville Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6296 Issued in SC

Legal business name

BISHOPVILLE DRUG CO INC

Doing business as

Bishopville Drug Company

Practice address

302 S Main St
Bishopville, SC 29010-1422

Phone

(803) 484-3784

Fax

(803) 484-4778

NPI assigned

Aug 18, 2006

Last updated

Oct 13, 2023By 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

Kimberly Frye ArdNPI 1962173377

Title

Owner/Pic

Phone

(803) 484-3784

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BISHOPVILLE DRUG COMPANY Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Bishopville Drug Co Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bishopville Drug Co Inc

  • Community/Retail Pharmacy
  • Bishopville, SC
  • NPI 1619949369
  NPD tax ID

Practitioners 2

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.

• Kimberly Frye Ard

  • Pharmacist
  • Bishopville, SC
  • NPI 1962173377
  NPD Authorized official
• William Grant Freeman, RPH

  • Pharmacist
  • Camden, SC
  • NPI 1407984719
  NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1942314927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S MAIN ST",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101422",
            "telephone_number": "803-484-3784",
            "fax_number": "803-484-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S MAIN ST",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101422",
            "telephone_number": "803-484-3784",
            "fax_number": "803-484-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOPVILLE DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-10-13",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "ARD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "FRYE",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "803-484-3784"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "6296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762963",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092093",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BISHOPVILLE DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BISHOPVILLE DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Assisting Need's Home Health Care
• Sarah O Atkinson, RN
• Bio-Medical Applications of South Carolina, Inc. (Fresenius Medical Care Lee County)
• Bishopville Dental LLC
• Bishopville Drug Co Inc
• Bishopville Manor Management Group LLC
• Celestine Boone
• Rosa M Bowman
• Coleman Lynwood Bramlett Jr., D.M.D.
• Rosa E Brice

• Community/Retail Pharmacy in Bishopville, SC
• Providers in Bishopville, 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 Oct 13, 2023; 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.