MAULDIN FAMILY PHARMACY
NPI 1750489688
Pharmacy - Community/Retail Pharmacy in Mauldin, SC

NPI Status: Active since September 21, 2006

Contact Information

505 N MAIN ST
STE A
MAULDIN, SC
ZIP 29662
Phone: (864) 288-2600
Fax: (864) 288-5608

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance

About MAULDIN FAMILY PHARMACY

This page provides the complete NPI Profile along with additional information for Mauldin Family Pharmacy, a provider established in Mauldin, South Carolina operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1750489688 assigned on September 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 1874 (SC). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Mauldin Family Pharmacy. The authorized official of this NPI record is Charles Tidmarsh Rph (President)

NPI
1750489688
Provider Legal Name
MAULDIN FAMILY PHARMACY INC
Other Organization Name
MAULDIN FAMILY PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
505 N MAIN ST STE A MAULDIN, SC 29662
Location Phone
(864) 288-2600
Location Fax
(864) 288-5608
Mailing Address
505 N MAIN ST STE A MAULDIN, SC 29662
Mailing Phone
(864) 288-2600
Mailing Fax
(864) 288-5608
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2006
Last Update Date
07-19-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
1874
License State
SC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 
23336C0004XSuppliers

Pharmacy
Compounding Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES TIDMARSH RPH

Authorized Official Title
PRESIDENT
Authorized Official Phone
(864) 288-2600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2089291OTHER (01)PK
718748MEDICAID (05)SC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750489688
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271008818616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 8 + 1 + 8 + 6 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1750489688 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MR. CHARLES BLAIR TIDMARSH RPH

Pharmacist

505 N MAIN ST
MAULDIN, SC
ZIP 29662

(864) 288-2600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750489688, enumerated as an "organization" on September 21, 2006.

The provider is located at 505 N MAIN ST STE A MAULDIN, SC 29662 and the phone number is (864) 288-2600.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.