Kelley R Johnson, Llc
Community/Retail Pharmacy
1743 N Fraser St, Georgetown
South Carolina, 29440-6407
843-546-2222 843-527-8300
Kelley R Johnson, Llc is a Community/Retail Pharmacy in Georgetown, South Carolina. It is located at 1743 N Fraser St, Georgetown and it's customer support contact number is 843-546-2222. The authorized person of Kelley R Johnson, Llc is Kelley Ray Johnson, RPH who is Owner of the pharmacy and his contact number is 843-546-2222. Active license number of Kelley R Johnson, Llc is 2164 for Community/Retail Pharmacy in South Carolina. Kelley R Johnson, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kelley R Johnson, Llc is 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.
Pharmacy Details:
Kelley R Johnson, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kelley R Johnson, Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1743 N Fraser St, Georgetown,
South Carolina, 29440-6407 |
| Phone: | 843-546-2222 |
| Fax: | 843-527-8300 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kelley Ray Johnson |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 843-546-2222 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1215041298 |
| NPI Enumeration Date: | 18 Aug, 2006 |
| NPI Last Update On: | 18 Jan, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelley R Johnson, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 2164 | South Carolina | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 712092 | Medicaid | South Carolina | |
| 2088930 | Other | | Pk |
Medicare Enrollment:
Kelley R Johnson, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5799801353 | O20100930075359 | Prescription Shoppe Of Georgetown Sc Inc | DME SUPPLIER - PHARMACY |
| 5799801353 | O20161018000928 | Prescription Shoppe Of Georgetown Sc Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Kelley R Johnson, Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Breast Prostheses & Accessories |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Orthoses: Prefabricated | • Ostomy Supplies |
| • Surgical Dressings | • Urological Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1743 N Fraser St,
Georgetown, South Carolina |
| Zip: | 29440-6407 |
| Phone Number: | 843-546-2222 |
| Fax Number: | 843-527-8300 |
Patients can reach Kelley R Johnson, Llc at
1743 N Fraser St, Georgetown, South Carolina or can
call on customer care at 843-546-2222.
Comments/ Reviews:
Read all the reviews posted for Kelley R Johnson, Llc below. You may also share your own experience with Kelley R Johnson, Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.