Organization Active NPI

Inner Peace Health, LLC

  • Pharmacist
  • Sumter, SC
National Provider Identifier
1295611366
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
INNER PEACE HEALTH, LLC
Practice address
515 E Emerald Lake Dr
Sumter, SC 29153
Phone
(803) 468-0994
NPI assigned
Aug 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Dr. Deja Johnson, PHARMDNPI 1619235520
Title
Owner
Phone
(803) 468-0994

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
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

515 E Emerald Lake Dr
Sumter, SC 29153

Mailing address

1165 Broad St
Sumter, SC 29150-1932
Phone (803) 468-0994

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1295611366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501932",
            "telephone_number": "803-468-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E EMERALD LAKE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29153",
            "telephone_number": "803-468-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-468-0994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.