NPIMap

Organization Active NPI

SC Department of Health and Environmental Control

Doing business as Dhec Central Pharmacy

  • Mail Order Pharmacy
  • State Park, SC
National Provider Identifier
1063456374
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
50002986 Issued in SC
Legal business name
SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Doing business as
Dhec Central Pharmacy
Practice address
8500 Farrow Rd
BLDG 16
State Park, SC 29147
Phone
(803) 896-6250
Fax
(803) 896-6252
NPI assigned
Jun 16, 2006
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Sonya Bayone, MHS
Title
Adap Director
Phone
(803) 898-0829

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Mail Order Pharmacy 3336M0002X 50002986 SC Primary

Addresses

Primary practice location

8500 Farrow Rd
BLDG 16
State Park, SC 29147

Mailing address

PO Box 809
State Park, SC 29147-0809
Phone (803) 896-6250

Other identifiers 2

IdentifierTypeStateIssuer
2092196OtherPK
750001MedicaidSC

Other names 1

  • DHEC CENTRAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Carolina Department of Juvenile Justice280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1063456374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "STATE PARK",
            "state": "SC",
            "postal_code": "291470809",
            "telephone_number": "803-896-6250",
            "fax_number": "803-896-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 FARROW RD",
            "address_2": "BLDG 16",
            "city": "STATE PARK",
            "state": "SC",
            "postal_code": "29147",
            "telephone_number": "803-896-6250",
            "fax_number": "803-896-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "BAYONE",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "ADAP DIRECTOR",
        "authorized_official_telephone_number": "803-898-0829",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "SC",
            "license": "50002986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092196",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHEC CENTRAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in State Park, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.