Organization Active NPI

White Oak Pharmacy Inc

  • Long Term Care Pharmacy
  • Spartanburg, SC
National Provider Identifier
1992741888
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
8902 Issued in SC
Legal business name
WHITE OAK PHARMACY INC
Practice address
1233 Boiling Springs Rd
Spartanburg, SC 29303-2258
Phone
(864) 582-8280
Fax
(864) 582-8485
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Mary Ludlow, RPH
Title
Director of Pharmacy
Phone
(964) 582-8280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 8902 SC Primary

Addresses

Primary practice location

1233 Boiling Springs Rd
Spartanburg, SC 29303-2258

Mailing address

PO Box 2888
Spartanburg, SC 29304-2888
Phone (864) 582-8280

Other identifiers 3

IdentifierTypeStateIssuer
0426288MedicaidNC
789027MedicaidSC
2090664OtherPK

Other names 1

  • WHITE OAK PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1233 Boiling Springs Rd
Spartanburg, SC 29303
Phone (800) 494-7127

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1992741888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2888",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042888",
            "telephone_number": "864-582-8280",
            "fax_number": "864-582-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 BOILING SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032258",
            "telephone_number": "864-582-8280",
            "fax_number": "864-582-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "LUDLOW",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "964-582-8280",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "8902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426288",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "789027",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090664",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITE OAK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.