CONGRESS STREET PHARMACY
NPI 1194397216
Pharmacy in York, SC

Active since July 16, 2021
12 CONGRESS ST N STE A, YORK, SC 29745(803) 818-4116 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Congress Street Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONGRESS STREET PHARMACY (NPI 1194397216) is a healthcare organization registered as a pharmacy in York, South Carolina and active in the NPI registry since July 2021. The organization lists William Dunlap, Vice President, as its authorized official.

NPPES Registry Identity

NPI1194397216
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCONGRESS STREET PHARMACY
Location Address12 CONGRESS ST N STE AYork, SC 29745-1529
Mailing Address12 Congress St N Ste AYork, SC 29745-1529 · (803) 818-4116
Organization SubpartNo
Authorized OfficialWilliam DunlapVice President · (803) 984-1560
Enumeration DateJuly 16, 2021
NPPES CertifiedJuly 16, 2021
✔ NPI 1194397216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
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.
12 CONGRESS ST N STE A, York, SC 29745

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Congress Street Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20220127001646Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
36 services35 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
12 CONGRESS ST N STE A
YORK, SC 29745
Pharmacist
12 CONGRESS ST N STE A
YORK, SC 29745

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Congress Street Pharmacy's NPI number?

The NPI number for Congress Street Pharmacy is 1194397216. It was assigned to this organization in the NPPES registry on July 16, 2021.

Where is Congress Street Pharmacy located?

Congress Street Pharmacy is located at 12 Congress St N Ste A, York, SC 29745. The listed phone number is (803) 818-4116.

What is Congress Street Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Is Congress Street Pharmacy enrolled in Medicare?

Yes. Congress Street Pharmacy is registered in the Medicare PECOS enrollment system.

When is Congress Street Pharmacy's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Mass Immunization (Roster Biller Only)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Congress Street Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 43 other insurers list Congress Street Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Congress Street Pharmacy was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.