| NPI | 1083675391 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-03-28 |
| Last Updated | 2009-08-07 |
| Authorized Official | Douglas Moore TREASURER MANG Phone: 8433465410 |
| Mailing Address | 309 E Smith St Timmonsville, SC 29161-1821 United States Phone: (843) 346-5410 | Fax: (843) 346-5414 📍 View Map |
| Primary Practice Address | 309 E Smith St Timmonsville, SC 29161-1821 United States Phone: (843) 346-5410 | Fax: (843) 346-5414 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 4216568 | NCPDP Provider Identification Number |
| MEDICAID | SC | 746837 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | SC | 4683 |
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About NPI 1083675391
Timmonsville Drug Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083675391. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Timmonsville, SC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-03-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083675391?
NPI 1083675391 belongs to Timmonsville Drug Inc, a Pharmacy, Community/Retail Pharmacy in Timmonsville, SC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083675391 active?
The current status of NPI 1083675391 in the NPPES registry is Active. The record was last updated on 2009-08-07.
What specialty is NPI 1083675391?
NPI 1083675391 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083675391?
You can verify NPI 1083675391 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083675391?
The primary practice address on file for NPI 1083675391 is 309 E Smith St, Timmonsville, SC 29161-1821. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083675391 issued?
NPI 1083675391 was first issued (enumerated) on 2006-03-28. The NPPES record was last updated on 2009-08-07.
Practice Location Map
Timmonsville Drug Inc is located at 309 E Smith St, Timmonsville, SC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Timmonsville Drug Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083675391. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 4683 | SC |