GROVE PARK PHARMACY MEDICAL CLINIC – NPI #1306326640
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

GROVE PARK PHARMACY MEDICAL CLINIC is a provider located in ORANGEBURG, SC. NPPES has assigned the NPI number 1306326640 to GROVE PARK PHARMACY MEDICAL CLINIC on August 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GROVE PARK PHARMACY MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is ORANGE CUT RATE DRUG STORE, INC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Nov 08, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GROVE PARK PHARMACY MEDICAL CLINIC below.

NPI Profile for
ORANGE CUT RATE DRUG STORE, INC

NPI Number
1306326640
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ORANGE CUT RATE DRUG STORE, INC
Doing Business As (dba): GROVE PARK PHARMACY MEDICAL CLINIC
Primary location
1326 GROVE PARK DR
ORANGEBURG, SC 29115
Phone: (803) 536-0007 Fax: (803) 536-2962
Mailing address
PO BOX 701
ORANGEBURG, SC 29116-0701
Phone: (803) 536-0007 Fax: (803) 536-2962
Organization Subpart
Yes - GROVE PARK PHARMACY MEDICAL CLINIC is subpart of another organization.
Authorized Official
CHARLES THOMPSON
OWNER
Phone: (803) 536-0007
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.