SUP-RX PHARMACY #53 NPI 1417951252

NPI Information

  • NPI: 1417951252
  • Provider Name: SUP-RX PHARMACY #53
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 401 PEARL ST
    DARLINGTON, SC
    ZIP 29532
  • Phone: (843) 393-2552

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NPI Details

SUP-RX PHARMACY #53 is a pharmacy in Darlington, SC. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SUP-RX PHARMACY #53 NPI is 1417951252. The provider is registered as an organization entity type.

The provider's business location address is:

401 PEARL ST
DARLINGTON, SC
ZIP 29532-814
Phone: (843) 393-2552
Fax: (843) 393-9811

The provider's authorized official is Ricky Mcleod .
The authorized official title is Owner and has the following contact phone number (803) 775-1334.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 3/7/2023.

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
1333600000XPharmacy50-000803SOUTH CAROLINAYes

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
14203751OTHERNCDP NUMBER
2708033MEDICAIDSOUTH CAROLINA
34203751OTHERNABP NUMBER

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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