Active NPI
Sandhills Medical Foundation
- Community/Retail Pharmacy
- MC Bee, SC
National Provider Identifier
1104275403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 16616
- Legal business name
- SANDHILLS MEDICAL FOUNDATION
- Practice address
- 645 S Seventh St
MC Bee, SC 29101-7101 - Phone
- (843) 335-8291
- Fax
- (843) 335-8731
- NPI assigned
- Jun 7, 2016
- 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
- Dr. Alyssa L Norwood, PHARMD
- Title
- Chief Pharmacy Officer
- Phone
- (843) 335-8291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 16616 | SC | Primary |
Addresses
Primary practice location
645 S Seventh St
MC Bee, SC 29101-7101
Mailing address
645 S Seventh St
PO Box 366
MC Bee, SC 29101-7101
Phone (843) 335-8291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16616 | Other | SC | SOUTH CAROLINA BOARD OF PHARMACY |
Other names 1
- Sandhills Medical Pharmacy #3
National Provider Directory
National Provider Directory- Tax ID family
- Sandhills Medical Foundation Inc
Other organizations with this tax ID 20
Organizations that report the same tax identification number in the National Provider Directory.
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- Federally Qualified Health Center (FQHC)
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465257600000",
"number": "1104275403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 S SEVENTH ST",
"address_2": "PO BOX 366",
"city": "MC BEE",
"state": "SC",
"postal_code": "291017101",
"telephone_number": "843-335-8291",
"fax_number": "843-335-8731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 S SEVENTH ST",
"city": "MC BEE",
"state": "SC",
"postal_code": "291017101",
"telephone_number": "843-335-8291",
"fax_number": "843-335-8731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDHILLS MEDICAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A",
"authorized_official_last_name": "NORWOOD",
"authorized_official_first_name": "ALYSSA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
"authorized_official_telephone_number": "843-335-8291",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "16616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA BOARD OF PHARMACY",
"identifier": "16616",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sandhills Medical Pharmacy #3",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in MC Bee, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.