Organization Active NPI

Tsi South

Doing business as TSI South Vital Care

  • Home Infusion Therapy Pharmacy
  • Rock Hill, SC
National Provider Identifier
1033782255
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
TSI SOUTH
Doing business as
TSI South Vital Care
Practice address
775 Addison Dr Ste 110
Rock Hill, SC 29730-7061
Phone
(803) 881-1350
Fax
(803) 324-0572
NPI assigned
Jul 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcie ParkerNPI 1447627146
Title
President
Phone
(252) 295-0095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

775 Addison Dr Ste 110
Rock Hill, SC 29730-7061

Mailing address

775 Addison Dr Ste 110
Rock Hill, SC 29730-7061
Phone (803) 881-1350

Other names 1

  • TSI South Vital Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118002884 SC DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 0547659252 Practice locations: Rock Hill, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tsi South775 Addison Dr, Rock Hill, SC 29730-7061(803) 881-1350 Infusion Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Sep 30, 2021

National Provider Directory

National Provider Directory
Tax ID family
Tsi South2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

775 Addison Dr
Ste 110
Rock Hill, SC 29730
Phone (803) 881-1350

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1033782255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 ADDISON DR STE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307061",
            "telephone_number": "803-881-1350",
            "fax_number": "803-324-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ADDISON DR STE 110",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297307061",
            "telephone_number": "803-881-1350",
            "fax_number": "803-324-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSI SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-24",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-295-0095"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSI South Vital Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TSI South Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.