Organization
MOON'S DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LEE SMITH RPH (PRES./OWNER)
(864) 647-8770
Entity
Organization
Contact information
Practice address
132 E MAIN ST, WESTMINSTER, SC 29693-1753
(864) 647-8770
(864) 647-2906
Mailing address
132 E MAIN ST, WESTMINSTER, SC 29693-1753
(864) 647-8770
(864) 647-2906
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
037117538
SC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME236
—
SC
Enumeration date
07/15/2006
Last updated
05/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us