Kim Massey Holsomback, PHARMD
Individual provider Active NPI Pharmacist · Edgefield, SC
NPI 1386993483 · NPPES record last updated Mar 26, 2026
Key facts
- NPI
- 1386993483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 010660 (SC)
- Practice address
- 300 Ridge Medical Plaza Rd
Edgefield, SC 29824-4525 - Phone
- (803) 384-4140
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010660 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010660 | SC | Yes |
Addresses
Primary practice location
300 Ridge Medical Plaza Rd
Edgefield, SC 29824-4525
Mailing address
300 Ridge Medical Plaza Rd
Edgefield, SC 29824-4525
Phone (803) 384-4140
Other providers in Edgefield, SC
- Jeffery Reed Gosney
- Halcyon Supply Co., LLC
- Marion Robert Henderson
- Karen Anderson Hickman
- Corinthian Hillary
- Renita Irving
- Jeffrey R Geer OD PC
- Belinda Ann Jones
- Erika Lynne King
- Sarah Cook Ledford
All providers in Edgefield, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.