Organization Active NPI

Hawthorne Camden Pharmacy LLC

  • Community/Retail Pharmacy
  • Camden, SC
National Provider Identifier
1477562262
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50006473 Issued in SC
Legal business name
HAWTHORNE CAMDEN PHARMACY LLC
Practice address
2534 Broad St
Camden, SC 29020-2238
Phone
(803) 425-8378
Fax
(803) 425-8462
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Mrs. Kristie Cassidy, RPH
Title
Vice-President
Phone
(803) 227-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50006473 SC Primary

Addresses

Primary practice location

2534 Broad St
Camden, SC 29020-2238

Mailing address

2534 Broad St
Camden, SC 29020-2238
Phone (803) 425-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130917000755 SC Part B Supplier - Mass Immunization (Roster Biller Only) 9133363922 Practice locations: Camden, SC

National Provider Directory

National Provider Directory

Locations

2534 Broad St
Camden, SC 29020
Phone (803) 425-8378

Practitioners & affiliated clinicians

Practitioners 4

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1477562262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 BROAD ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290202238",
            "telephone_number": "803-425-8378",
            "fax_number": "803-425-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 BROAD ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290202238",
            "telephone_number": "803-425-8378",
            "fax_number": "803-425-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE CAMDEN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "803-227-4464",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50006473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.