NPIMap

Organization Active NPI

Tandem Health SC

Doing business as Sumter Family Health Center Pharmacy

  • Pharmacy
  • Sumter, SC
National Provider Identifier
1114114501
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
9614 Issued in SC
Legal business name
TANDEM HEALTH SC
Doing business as
Sumter Family Health Center Pharmacy
Practice address
1278 N Lafayette Dr
Sumter, SC 29150-2964
Phone
(803) 774-4579
Fax
(803) 774-4643
NPI assigned
Sep 28, 2007
Last updated
Oct 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Annie Brown
Title
Ceo
Phone
(803) 774-4500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 9614 SC Primary
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

1278 N Lafayette Dr
Sumter, SC 29150-2964

Mailing address

PO Box 250
Sumter, SC 29151-0250
Phone (803) 774-4579

Other identifiers 1

IdentifierTypeStateIssuer
2093407OtherPK

Other names 2

  • SUMTER FAMILY HEALTH CENTER PHARMACY Doing business as
  • Sumter Family Health Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Sumter Family Health Center - Administration12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1114114501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291510250",
            "telephone_number": "803-774-4579",
            "fax_number": "803-774-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 N LAFAYETTE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502964",
            "telephone_number": "803-774-4579",
            "fax_number": "803-774-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM HEALTH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-774-4500"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "9614",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMTER FAMILY HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUMTER FAMILY HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sumter Family Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 1, 2018; 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.