Organization Active NPI

Oasis Pharmacy Services LLC

  • Long Term Care Pharmacy
  • West Columbia, SC
National Provider Identifier
1124751862
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
OASIS PHARMACY SERVICES LLC
Practice address
1173 Sunset Boulevard
West Columbia, SC 29169-6863
Phone
(803) 233-6161
Fax
(803) 233-1932
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Mrs. Stephanie Graham Wise, PHARMDNPI 1932406964
Title
Owner/Member Manager
Phone
(803) 233-6161

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1173 Sunset Boulevard
West Columbia, SC 29169-6863

Mailing address

PO Box 2778
West Columbia, SC 29171-2778
Phone (803) 233-6161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230315003196 SC Part B Supplier - Pharmacy 1850765751 Practice locations: West Columbia, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1124751862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2778",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291712778",
            "telephone_number": "803-233-6161",
            "fax_number": "803-233-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 SUNSET BOULEVARD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696863",
            "telephone_number": "803-233-6161",
            "fax_number": "803-233-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "OWNER/MEMBER MANAGER",
        "authorized_official_telephone_number": "803-233-6161",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.