Active NPI
Avalon Care Center - SC VA Sumter, L.L.C.
Doing business as Patriot's Village Pharmacy
- Long Term Care Pharmacy
- Sumter, SC
National Provider Identifier
1023921996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- AVALON CARE CENTER - SC VA SUMTER, L.L.C.
- Doing business as
- Patriot's Village Pharmacy
- Practice address
- 915 N Wise Dr
Sumter, SC 29153-8580 - Phone
- (803) 965-9002
- Fax
- (803) 965-5028
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hyrum Kirton
- Title
- Senior Vice President
- Phone
- (801) 596-8844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
915 N Wise Dr
Sumter, SC 29153-8580
Mailing address
915 N Wise Dr
Sumter, SC 29153-8580
Phone (803) 965-9002
Other names 1
- Patriot's Village Pharmacy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2320359 | Patriot's Village | Certificate of waiver | Mar 16, 2027 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1023921996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 N WISE DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291538580",
"telephone_number": "803-965-9002",
"fax_number": "803-965-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N WISE DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291538580",
"telephone_number": "803-965-9002",
"fax_number": "803-965-5028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALON CARE CENTER - SC VA SUMTER, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "KIRTON",
"authorized_official_first_name": "HYRUM",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "801-596-8844"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Patriot's Village Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.