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JACK P. PADGETT JR. NPI 1851474100


NPI Information

NPI: 1851474100
Provider Name: JACK P. PADGETT JR.

Doing Business As: PADGETT'S DRIVE IN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
540 NORTH ST
BAMBERG, SC
ZIP 29003
Phone: (803) 245-4298
Get Directions

JACK P. PADGETT JR. is a community/retail pharmacy pharmacy in Bamberg, SC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JACK P. PADGETT JR. NPI is 1851474100. The provider is registered as an organization entity type.
The provider Is Doing Business As Padgett's Drive In Pharmacy.

The provider's business location address is:

540 NORTH ST
BAMBERG, SC
ZIP 29003-319
Phone: (803) 245-4298
Fax: (803) 245-1232

The provider's authorized official is Jack Pershing Padgett .
The authorized official title is Pharmacist and has the following contact phone number (803) 245-4298.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 12/12/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies5001664SOUTH CAROLINANo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10859720001MEDICARE NSC
2716647MEDICAIDSOUTH CAROLINA
34202329OTHEROTHER ID 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: 4/28/2024

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