Palmetto Specialty Pharmacy

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

14939 Issued in SC

Legal business name

PALMETTO SPECIALTY PHARMACY

Doing business as

Palmetto Specialty Pharmacy

Practice address

172 McSwain Dr Ste C
West Columbia, SC 29169-4804

Phone

(803) 724-1501

Fax

(855) 286-1676

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Connie Hartley

Title

Vice-President

Phone

(803) 227-5447

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Palmetto Specialty Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1295166742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 MCSWAIN DR",
            "address_2": "SUITE C",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694804",
            "telephone_number": "803-724-1501",
            "fax_number": "855-286-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MCSWAIN DR STE C",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694804",
            "telephone_number": "803-724-1501",
            "fax_number": "855-286-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "803-227-5447"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "SC",
            "license": "14939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palmetto Infusion Services LLC
• Palmetto Medical Products
• Palmetto Pirate Provisions, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Retina Center LLC
• Margaret Crosby Papadea, M.D.
• Kelly Pappas
• Cayla Paradise, DMD
• Kavitha Paramanathan, M.D
• Aalay Chirag Parikh

• Specialty Pharmacy in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Specialty Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.