NPIMap

Organization Active NPI

Sandhills Medical Foundation, Inc

Doing business as Sandhills Medical Pharmacy #5

  • Community/Retail Pharmacy
  • Pageland, SC
National Provider Identifier
1174387245
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SANDHILLS MEDICAL FOUNDATION, INC
Doing business as
Sandhills Medical Pharmacy #5
Practice address
215 N. Pearl St
Pageland, SC 29728
Phone
(803) 438-5537
NPI assigned
Feb 9, 2024
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SANDHILLS MEDICAL FOUNDATION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Ernest Wardlaw
Title
Chief Executive Officer
Phone
(803) 900-6612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

215 N. Pearl St
Pageland, SC 29728

Mailing address

40 Baldwin Ave
Lugoff, SC 29078
Phone (803) 438-5537

Other names 1

  • Sandhills Medical Pharmacy #5 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sandhills Medical Foundation Inc21 organizations share this tax ID, including this one
Part of
Sandhills Medical Foundation Inc

Other organizations with this tax ID 20

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

View all 20

Locations

215 N Pearl St
Pageland, SC 29728
Phone (803) 438-5537

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1174387245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BALDWIN AVE",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "29078",
            "telephone_number": "803-438-5537",
            "fax_number": "803-438-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N. PEARL ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "29728",
            "telephone_number": "803-438-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS MEDICAL FOUNDATION, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDHILLS MEDICAL FOUNDATION, INC",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "WARDLAW",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "803-900-6612"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandhills Medical Pharmacy #5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pageland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.