Organization Active NPI

Pharmcare USA of South Carolina, LLC

  • Long Term Care Pharmacy
  • Hartsville, SC
National Provider Identifier
1174389100
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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

Updated by the provider on Feb 27, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.