Active NPI
Hawthorne Camden Pharmacy LLC
- Community/Retail Pharmacy
- Camden, SC
National Provider Identifier
1477562262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50006473
- 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
- Last updated
- Nov 19, 2025
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130917000755 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133363922 | Practice locations: Camden, SC |
National Provider Directory
National Provider DirectoryLocations
2534 Broad St
Camden, SC 29020
Phone (803) 425-8378
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Pharmacist
- Columbia, SC
- NPI 1093128985
-
- Pharmacist
- Columbia, SC
- NPI 1497355242
-
- Pharmacist
- Camden, SC
- NPI 1376229690
-
- Pharmacist
- Camden, SC
- NPI 1083202428
-
- Pharmacist
- Camden, SC
- NPI 1326513052
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.