GREAT FALLS PHARMACY
NPI 1215138235
Durable Medical Equipment & Medical Supplies in Great Falls, SC

Q: What is Milrush, LLC's NPI number?

The NPI number for Milrush, LLC is 1215138235. It was assigned to this organization in the NPPES registry on May 29, 2007. The provider is doing business as Great Falls Pharmacy.

Q: What is Milrush, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Q: When was this NPI record last updated?

The NPPES record for Milrush, LLC was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 29, 2007CLIA 42D2233029 · Waiver

503 CHESTER AVENUE, GREAT FALLS, SC 29055(803) 482-2249(803) 482-3349 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Great Falls Pharmacy NPPES

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

GREAT FALLS PHARMACY (NPI 1215138235) is a healthcare organization registered as a durable medical equipment & medical supplies in Great Falls, South Carolina and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Gary Lee Milhorn, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1215138235

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameMILRUSH, LLC

Location Address503 CHESTER AVENUEGreat Falls, SC 29055

Mailing Address503 Chester Avenue, Suite AGreat Falls, SC 29055 · (803) 482-2249 · Fax (803) 482-3349

Phone(803) 482-2249

Fax(803) 482-3349

Organization SubpartNo

Authorized OfficialGary Lee MilhornPharmacist · (803) 482-2249

Enumeration DateMay 29, 2007

Last NPPES UpdateOctober 19, 2011

✔ NPI 1215138235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in SC · 13459

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

503 CHESTER AVENUE, Great Falls, SC 29055

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Other Names 1

Doing Business AsGreat Falls Pharmacy

Other Identifiers 1

Medicare NSC4108960001SC

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20211029001299Non-DME Part B · PharmacyDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2233029

Great Falls Pharmacy · Great Falls, SC

Active · expires Aug 18, 2027

CLIA Number42D2233029

Laboratory TypePharmacy

Certificate Effective DateAugust 19, 2025

Certificate Expiration DateAugust 18, 2027

Laboratory DirectorChris Kennington

Laboratory Phone(803) 482-2249

Laboratory LocationGreat Falls Pharmacy503 Chester Ave Suite A, Great Falls, SC 29055

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

60 services59 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

41 services41 patients

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 Milrush, LLC's NPI number?

The NPI number for Milrush, LLC is 1215138235. It was assigned to this organization in the NPPES registry on May 29, 2007. The provider is doing business as Great Falls Pharmacy.

Where is Milrush, LLC located?

Milrush, LLC is located at 503 Chester Avenue, Great Falls, SC 29055. The listed phone number is (803) 482-2249.

What is Milrush, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Is Milrush, LLC enrolled in Medicare?

Yes. Milrush, LLC is registered in the Medicare PECOS enrollment system.

When is Milrush, LLC'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, Pharmacy) is due for revalidation by November 30, 2026. 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.

Does Milrush, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2233029) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Milrush, LLC was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.