NPIMap

Organization Active NPI

Genesis Healthcare, Inc

  • Pharmacy
  • Olanta, SC
National Provider Identifier
1972163350
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GENESIS HEALTHCARE, INC
Practice address
211 S Jones Rd Ste a
Olanta, SC 29114-9705
Phone
(843) 699-2009
NPI assigned
Jun 18, 2019
Organization subpart
Yes
Parent organization
GENESIS HEALTHCARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Tony Megna
Title
Ceo
Phone
(803) 254-3676

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

211 S Jones Rd Ste a
Olanta, SC 29114-9705

Mailing address

8906 Two Notch Rd
Columbia, SC 29223-6366
Phone (803) 254-3676

Other names 1

  • Professional Pharmacy of Olanta Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Genesis Healthcare Inc13 organizations share this tax ID, including this one
Part of
Genesis Healthcare Inc

Other organizations with this tax ID 12

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

Locations

211 S Jones Rd
Ste A
Olanta, SC 29114
Phone (843) 699-2009

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1972163350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S JONES RD STE A",
            "city": "OLANTA",
            "state": "SC",
            "postal_code": "291149705",
            "telephone_number": "843-699-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS HEALTHCARE, INC",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "MEGNA",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-254-3676"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Pharmacy of Olanta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Pharmacy of Olanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olanta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.