Organization Active NPI

South Carolina Erica, Inc

  • Pharmacist
  • San Angelo, TX
National Provider Identifier
1962554592
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20356 Issued in TX
Legal business name
SOUTH CAROLINA ERICA, INC
Practice address
1926 N Bryant Blvd
San Angelo, TX 76903-3744
Phone
(325) 653-3271
Fax
(325) 653-3272
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda Joyce Roe, RPH
Title
Director, RX Services
Phone
(325) 658-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 20356 TX Primary

Addresses

Primary practice location

1926 N Bryant Blvd
San Angelo, TX 76903-3744

Mailing address

1926 N Bryant Blvd
San Angelo, TX 76903-3744
Phone (325) 653-3271

Other identifiers 1

IdentifierTypeStateIssuer
144961MedicaidTX

Other names 1

  • Food Basket Pharmacy #8 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Food Basket Pharmacy 43 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

1926 N Bryant Blvd
San Angelo, TX 76903
Phone (325) 653-3271

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962554592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 N BRYANT BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769033744",
            "telephone_number": "325-653-3271",
            "fax_number": "325-653-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 N BRYANT BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769033744",
            "telephone_number": "325-653-3271",
            "fax_number": "325-653-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA ERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "DIRECTOR, RX SERVICES",
        "authorized_official_telephone_number": "325-658-6551",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "20356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144961",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Food Basket Pharmacy #8",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.