Beaufort Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16473 Issued in SC

Legal business name

BEAUFORT PHARMACY LLC

Practice address

968 Ribaut Rd Ste 1
Beaufort, SC 29902-8003

Phone

(843) 379-3278

Fax

(843) 379-3232

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Jeremy Simmons, PHARMDNPI 1134497860

Title

Owner/Pharmacist

Phone

(843) 379-3278

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Beaufort Pharmacy and Compouding Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Michael Simmons, PHARMD

  • Pharmacist
  • Beaufort, SC
  • NPI 1134497860
  NPD (past) Authorized official
• Jonathan Desmond Strickland, PHARMD

  • Pharmacist
  • Beaufort, SC
  • NPI 1396394821
  NPD (past)

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1962861922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 RIBAUT RD",
            "address_2": "SUITE 1",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299028000",
            "telephone_number": "843-379-3278",
            "fax_number": "843-379-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 RIBAUT RD STE 1",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299028003",
            "telephone_number": "843-379-3278",
            "fax_number": "843-379-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "843-379-3278",
        "authorized_official_credential": "PHARMD"
    },
    "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": "16473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716473",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaufort Pharmacy and Compouding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Beaufort Physician Partners
• Beaufort Psychological Services
• Beaufort Smiles PA
• Barney B. Beaver, D.O.
• Stephanie Armande Becaas, LMSW

• Community/Retail Pharmacy in Beaufort, SC
• Providers in Beaufort, 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 Dec 1, 2022; 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.