Kelley R Johnson, LLC
Kelley R Johnson, LLC is a healthcare organization registered as Community/Retail Pharmacy in Georgetown, SC, holding Type 2 (organization) NPI 1215041298 since 2006. The authorized official on file is Kelley Johnson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215041298 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kelley R Johnson, LLC |
| Other name | <Unavail> |
| Practice address | 1743 N FRASER ST, Georgetown, SC, 29440 |
| Phone | 8435462222 |
| Fax | 8435278300 |
| Enumeration date | 2006-08-18 |
| Last updated in NPPES | 2022-01-18 |
Authorized official
| Name | Kelley Johnson |
|---|---|
| Title | Owner |
| Phone | 8435462222 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2164 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 712092 | Medicaid | SC | — |
| 2088930 | Other | — | PK |
Copy-ready billing details
Provider: Kelley R Johnson, LLC NPI: 1215041298 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1743 N FRASER ST, Georgetown, SC, 29440
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386715431 | David Cyr | Individual | Pharmacist | Georgetown, SC |
| 1740348390 | Linda Harper | Individual | Pharmacist | Georgetown, SC |
| 1154735066 | Nicholas Rainey | Individual | Pharmacist | Georgetown, SC |
Verify this record
Cross-check NPI 1215041298 against the authoritative CMS record: view Kelley R Johnson, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Kelley R Johnson, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-01-18.