Brunson's Pharmacy, LLC
NPI 1508109497ActiveOrganization· Pharmacy· Manning, SC
Pharmacy in Manning, South Carolina, registered in NPPES in March 2013. The authorized official on file is James V. Mathis, PHARMD, Owner. Medicare paid $43,115 for services to 214 patients in 2024.
Overview
| NPI | 1508109497 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2013 |
| Last updated in NPPES | Jan 26, 2021 |
| Certified by provider | Jan 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 14411 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 214 |
|---|---|
| Services billed | 588 across 8 procedure codes |
| Paid by Medicare | $43,115 |
Other Pharmacy providers in Manning
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