MCLEOD PHARMACY INC NPI 1205823309

NPI Information

  • NPI: 1205823309
  • Provider Name: MCLEOD PHARMACY INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
  • Specialization: Parenteral & Enteral Nutrition
  • Entity Type: Organization
  • Address: 127 N MAIN ST
    BISHOPVILLE, SC
    ZIP 29010
  • Phone: (803) 484-6115

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NPI Details

MCLEOD PHARMACY INC is a parenteral and enteral nutrition durable medical equipment medical supplies in Bishopville, SC. MCLEOD PHARMACY INC NPI is 1205823309. The provider is registered as an organization entity type.

The provider's business location address is:

127 N MAIN ST
BISHOPVILLE, SC
ZIP 29010-413
Phone: (803) 484-6115
Fax: (803) 484-4128

The provider's authorized official is David Roberson .
The authorized official title is Rph and has the following contact phone number (803) 484-6115.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 12/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies20160142SOUTH CAROLINANo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition8364SOUTH CAROLINAYes
33336C0003XPharmacyCommunity/Retail Pharmacy8364SOUTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1783646MEDICAIDSOUTH CAROLINA
2DM0757MEDICAIDSOUTH CAROLINA
30977600001MEDICARE NSCSOUTH CAROLINA
4EN2113MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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