NPIMap

Organization Active NPI

S.C. Department of Health and Environmental Control

  • Pharmacy
  • Greenwood, SC
National Provider Identifier
1265631485
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50-010575 Issued in SC
Legal business name
S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Practice address
1736 S Main St
Greenwood, SC 29646-4124
Phone
(864) 227-5950
Fax
(864) 953-6313
NPI assigned
Jul 17, 2007
Last updated
Feb 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Mrs. Caroline Y Sojourner, RPH
Title
Director
Phone
(803) 898-0813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50-010575 SC Primary

Addresses

Primary practice location

1736 S Main St
Greenwood, SC 29646-4124

Mailing address

1751 Calhoun St
PO Box 101106
Columbia, SC 29201-2606
Phone (803) 898-0813

Other identifiers 1

IdentifierTypeStateIssuer
710575MedicaidSC

Other names 1

  • DHEC Region 1 Health District Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
South Carolina Department of Juvenile Justice280 organizations share this tax ID, including this one

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

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1265631485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 CALHOUN ST",
            "address_2": "PO BOX 101106",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012606",
            "telephone_number": "803-898-0813",
            "fax_number": "803-898-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 S MAIN ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464124",
            "telephone_number": "864-227-5950",
            "fax_number": "864-953-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "SOJOURNER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-898-0813",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50-010575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710575",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHEC Region 1 Health District Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.