Organization 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
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2320359Patriot's Village915 North Wise Drive, Sumter, SC 29153Certificate of waiverMar 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.

Verify at the official NPI Registry.