Active NPI
Pharmcare USA of South Carolina, LLC
- Long Term Care Pharmacy
- Hartsville, SC
National Provider Identifier
1174389100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PHARMCARE USA OF SOUTH CAROLINA, LLC
- Practice address
- 212 W Carolina Ave Ste 1
Hartsville, SC 29550-4520 - Phone
- (843) 332-5193
- Fax
- (843) 332-2589
- NPI assigned
- Feb 27, 2024
- 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
- Barney Kent Abbott
- Title
- Ceo
- Phone
- (405) 204-9783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
212 W Carolina Ave Ste 1
Hartsville, SC 29550-4520
Mailing address
PO Box 10
Hydro, OK 73048-0010
Phone (866) 219-3619
Other names 1
- Pharmcare USA of Hartsville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241211002291 | SC | Part B Supplier - Pharmacy | 6709312986 | Practice locations: Hartsville, SC |
| O20250422000479 | SC | DME Supplier - Pharmacy | 6709312986 | Practice locations: Hartsville, SC |
National Provider Directory
National Provider DirectoryLocations
610 S 5th St
Hartsville, SC 29550
Phone (843) 332-5193
212 W Carolina Ave
Ste 1
Hartsville, SC 29550
Phone (843) 332-5193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708992000000",
"number": "1174389100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "HYDRO",
"state": "OK",
"postal_code": "730480010",
"telephone_number": "866-219-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W CAROLINA AVE STE 1",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504520",
"telephone_number": "843-332-5193",
"fax_number": "843-332-2589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMCARE USA OF SOUTH CAROLINA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A",
"authorized_official_last_name": "ABBOTT",
"authorized_official_first_name": "BARNEY",
"authorized_official_middle_name": "KENT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-204-9783"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pharmcare USA of Hartsville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.