Active NPI
Fort Mill Pharmacy
- Oxygen Equipment & Supplies (DME)
- Fort Mill, SC
National Provider Identifier
1982777884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- FORT MILL PHARMACY
- Practice address
- 601 Springcrest Dr
Fort Mill, SC 29715-7314 - Phone
- (803) 548-2851
- Fax
- (803) 802-0344
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alvin Lee Steele
- Title
- Owner
- Phone
- (803) 548-2851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | SC | Primary |
Addresses
Primary practice location
601 Springcrest Dr
Fort Mill, SC 29715-7314
Mailing address
601 Springcrest Dr
Fort Mill, SC 29715-7314
Phone (803) 548-2851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE1194 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982777884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 SPRINGCREST DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297157314",
"telephone_number": "803-548-2851",
"fax_number": "803-802-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SPRINGCREST DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297157314",
"telephone_number": "803-548-2851",
"fax_number": "803-802-0344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT MILL PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEELE",
"authorized_official_first_name": "ALVIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-548-2851"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE1194",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
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.