NPIMap

Organization Active NPI

St George Med CNTR Phcy

  • Clinic Pharmacy
  • Saint George, SC
National Provider Identifier
1972547289
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
ST GEORGE MED CNTR PHCY
Practice address
401 Ridge St
Saint George, SC 29477-2451
Phone
(843) 636-9130
Fax
(843) 563-8229
NPI assigned
Jun 16, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Arthur Kennedy, RPH
Title
Pic
Phone
(803) 531-6900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50008540 SC
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

401 Ridge St
Saint George, SC 29477-2451

Mailing address

401 Ridge St
Saint George, SC 29477-2451

Other identifiers 2

IdentifierTypeStateIssuer
4226230OtherOTHER ID NUMBER-COMMERCIAL NUMBER
785406MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Family Health Center Pharmacy29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

401 Ridge St
Saint George, SC 29477
Phone (843) 563-5315

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1972547289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RIDGE ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RIDGE ST",
            "city": "SAINT GEORGE",
            "state": "SC",
            "postal_code": "294772451",
            "telephone_number": "843-636-9130",
            "fax_number": "843-563-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE MED CNTR PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "803-531-6900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50008540",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4226230",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "785406",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.