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PRESCRIPTION SHOPPE OF GEORGETOWN
NPI 1215041298
Pharmacy - Community/Retail Pharmacy in Georgetown, SC

Active since August 18, 2006
1743 N FRASER ST, GEORGETOWN, SC 29440(843) 546-2222(843) 527-8300 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2022, Jun 24, 2021, May 14, 2021 and 1 more (4 updates tracked since 2016).

About Prescription Shoppe Of Georgetown NPPES

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

PRESCRIPTION SHOPPE OF GEORGETOWN (NPI 1215041298) is a healthcare organization registered as a community/retail pharmacy in Georgetown, South Carolina and active in the NPI registry since August 2006. The organization lists Kelley Ray Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1215041298
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKELLEY R JOHNSON, LLC
Location Address1743 N FRASER STGeorgetown, SC 29440-6407
Mailing Address1743 N Fraser StGeorgetown, SC 29440-6407 · (843) 546-2222 · Fax (843) 527-8300
Phone(843) 546-2222
Fax(843) 527-8300
Organization SubpartNo
Authorized OfficialKelley Ray JohnsonOwner · (843) 546-2222
Enumeration DateAugust 18, 2006
Last NPPES UpdateJanuary 18, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1215041298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in SC · 2164
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1743 N FRASER ST, Georgetown, SC 29440
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Other Names 1

Doing Business AsPrescription Shoppe Of Georgetown

Other Identifiers 2

Other2088930Pk
Medicaid712092SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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.
98 services97 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.
95 services94 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Prescription Shoppe Of Georgetown carries, from the Medicare DMEPOS supplier directory.

Prescription Shoppe Of Georgetown

DMEPOS supplier · Georgetown, SCOperated by Kelley R Johnson, LLC
⋮

Does not accept Medicare assignment

Prescription Shoppe Of Georgetown has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20406719
Medicare Participant SinceMarch 24, 2021
Supplier Location1743 N Fraser StGeorgetown, SC 29440
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

DR. NICHOLAS RAINEY PHARM.D.
Pharmacist
1743 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 546-2222
DAVID LEO CYR RPH
Pharmacist
1743 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 546-2222
MS. LINDA M HARPER R.PH.
Pharmacist
1743 N FRASER ST
GEORGETOWN, SC 29440
Georgetown County (843) 546-2222

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 Kelley R Johnson, LLC's NPI number?

The NPI number for Kelley R Johnson, LLC is 1215041298. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider is doing business as Prescription Shoppe Of Georgetown.

Where is Kelley R Johnson, LLC located?

Kelley R Johnson, LLC is located at 1743 N Fraser St, Georgetown, SC 29440. The listed phone number is (843) 546-2222.

What is Kelley R Johnson, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kelley R Johnson, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Prescription Shoppe Of Georgetown does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Kelley R Johnson, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Kelley R Johnson, LLC 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 Kelley R Johnson, LLC was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.