Organization Active NPI

Sunset Nursing Supply

  • Institutional Pharmacy
  • West Columbia, SC
National Provider Identifier
1225243074
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
50002216 Issued in SC
Legal business name
SUNSET NURSING SUPPLY
Practice address
101 Professional Ave
West Columbia, SC 29169-4711
Phone
(803) 794-6440
Fax
(803) 739-1420
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Walter Gerald Ellisor, RPHNPI 1740494095
Title
Owner
Phone
(803) 794-6440

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
Institutional Pharmacy 3336I0012X 50002216 SC Primary

Addresses

Primary practice location

101 Professional Ave
West Columbia, SC 29169-4711

Mailing address

101 Professional Ave
West Columbia, SC 29169-4711
Phone (803) 794-6440

Other identifiers 1

IdentifierTypeStateIssuer
4215578OtherSCNABP

National Provider Directory

National Provider Directory
Tax ID family
Sunset Nursing Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225243074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694711",
            "telephone_number": "803-794-6440",
            "fax_number": "803-739-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694711",
            "telephone_number": "803-794-6440",
            "fax_number": "803-739-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET NURSING SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLISOR",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-794-6440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "SC",
            "license": "50002216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4215578",
            "state": "SC"
        }
    ],
    "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 Aug 22, 2020; 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.