NPIMap

Organization Active NPI

South Carolina Dept of Mental Health Accounting Office

  • Long Term Care Pharmacy
  • Columbia, SC
National Provider Identifier
1356487607
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1379 Issued in SC
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Practice address
220 Faison Dr
Columbia, SC 29203-3210
Phone
(803) 935-7154
Fax
(803) 935-5627
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Mrs. Christine Sharp Latham, RPH
Title
Director of Pharmacy
Phone
(803) 935-7154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 50001379 SC
Long Term Care Pharmacy 3336L0003X 1379 SC Primary

Addresses

Primary practice location

220 Faison Dr
Columbia, SC 29203-3210

Mailing address

220 Faison Dr
Columbia, SC 29203-3210
Phone (803) 935-7154

Other identifiers 1

IdentifierTypeStateIssuer
713792MedicaidSC

Other names 1

  • G. WERBER BRYAN PSYCHIATRIC HOSPITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lexington Co Comm Men H61 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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1356487607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FAISON DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033210",
            "telephone_number": "803-935-7154",
            "fax_number": "803-935-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FAISON DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292033210",
            "telephone_number": "803-935-7154",
            "fax_number": "803-935-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "SHARP",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "803-935-7154",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "SC",
            "license": "50001379",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "1379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713792",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G. WERBER BRYAN PSYCHIATRIC HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "G. WERBER BRYAN PSYCHIATRIC HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.