NPIMap

Organization Active NPI

Medical University Hospital Authority

Doing business as MUSC Pharmacy Compounding Center

  • Compounding Pharmacy
  • Charleston, SC
National Provider Identifier
1215773387
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Doing business as
MUSC Pharmacy Compounding Center
Practice address
650 Ellis Oak Dr
Charleston, SC 29412-3089
Phone
(843) 792-2866
NPI assigned
Jul 8, 2024
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL UNIVERSITY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Ericka A Sommers Wilson
Title
Corporate Director
Phone
(843) 792-7810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

650 Ellis Oak Dr
Charleston, SC 29412-3089

Mailing address

169 Ashley Ave RM 149
Charleston, SC 29425-8905

Other names 1

  • MUSC Pharmacy Compounding Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Musc Hospital71 organizations share this tax ID, including this one
Part of
Musc Hospital

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

169 Ashley Ave
Rm 149
Charleston, SC 29425
Phone (843) 792-5220

7771 Palmetto Commerce Pkwy
North Charleston, SC 29420
Phone (843) 876-7074

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1215773387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE RM 149",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 ELLIS OAK DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123089",
            "telephone_number": "843-792-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "SOMMERS WILSON",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "843-792-7810"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUSC Pharmacy Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.