NPIMap

Organization Active NPI

S.C. Department of Health and Environmental Control

  • Pharmacy
  • State Park, SC
National Provider Identifier
1336206853
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50009033 Issued in SC
Legal business name
S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Practice address
8500 Farrow Rd
BLDG 16
State Park, SC 29147
Phone
(803) 896-6250
Fax
(803) 896-6252
NPI assigned
Jan 3, 2007
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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 50009033 SC Primary

Addresses

Primary practice location

8500 Farrow Rd
BLDG 16
State Park, SC 29147

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
000000157080OtherSCUNISON HEALTH PLAN OF SC
790334MedicaidSC
20021675OtherSCSELECT HEALTH PROVIDER #
4224111OtherNABP

Other names 1

  • DHEC CSHCN Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Dhec Finance280 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1336206853",
    "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": "8500 FARROW RD",
            "address_2": "BLDG 16",
            "city": "STATE PARK",
            "state": "SC",
            "postal_code": "29147",
            "telephone_number": "803-896-6250",
            "fax_number": "803-896-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-06-27",
        "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": "50009033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN OF SC",
            "identifier": "000000157080",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790334",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH PROVIDER #",
            "identifier": "20021675",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4224111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHEC CSHCN Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in State Park, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.