NPIMap

Organization Active NPI

Medical University Hospital Authority

Doing business as MUSC- Mail Order Pharmacy

  • Mail Order Pharmacy
  • Charleston, SC
National Provider Identifier
1497039390
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
13497 Issued in SC
Legal business name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Doing business as
MUSC- Mail Order Pharmacy
Practice address
7771 Palmetto Commerce Pkwy RM 404
Charleston, SC 29420-8825
Phone
(843) 792-2866
Fax
(843) 985-9854
NPI assigned
Oct 11, 2011
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Thomas Crawford
Title
Coo
Phone
(843) 792-8775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 13497 SC Primary

Addresses

Primary practice location

7771 Palmetto Commerce Pkwy RM 404
Charleston, SC 29420-8825

Mailing address

150 Ashley Ave
Room 618
Charleston, SC 29425-8907
Phone (843) 792-5691

Other identifiers 1

IdentifierTypeStateIssuer
713497MedicaidSC

Other names 1

  • MUSC- Mail Order Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120308000079 SC DME Supplier - Pharmacy 1557268950 Practice locations: Charleston, SC
O20121218000509 SC Part B Supplier - Mass Immunization (Roster Biller Only) 1557268950 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charleston, SC; Orangeburg, SC; Lancaster, SC; Florence, SC

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Musc Hospital71 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

Locations

150 Ashley Ave
Rm 618
Charleston, SC 29425

2070 Sam Rittenberg Blvd
Unit A116
Charleston, SC 29407
Phone (843) 876-0199

230 Albemarle Rd
#126
Charleston, SC 29407

7771 Palmetto Commerce Pkwy
Ste 404
North Charleston, SC 29420
Phone (843) 876-7074

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tidelands Waccamaw Community HospitalMurrells Inlet, SC, CCN 420098 Hospital Operational/Managerial Control Oct 1, 2025
Tidelands Georgetown Memorial HospitalGeorgetown, SC, CCN 420020 Hospital Operational/Managerial Control Oct 1, 2025
Musc Health Lancaster Medical CenterLancaster, SC, CCN 429803 Hospital Operational/Managerial Control (100%) Mar 1, 2019
Musc Health Lancaster Rehabilitation CenterLancaster, SC, CCN 42T036 Hospital Operational/Managerial Control (100%) Mar 1, 2019
Tidelands Georgetown Memorial HospitalGeorgetown, SC, CCN 42U020 Hospital Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine at GeorgetownGeorgetown, SC, CCN 428958 Rural health clinic Operational/Managerial Control Oct 1, 2020
Tidelands Health Family Medicine at HemingwayHemingway, SC, CCN 423859 Rural health clinic Operational/Managerial Control Oct 1, 2025
Tidelands Health Family MedicineAndrews, SC, CCN 423970 Rural health clinic Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine at Pawleys IslandPawleys Island, SC, CCN 423870 Rural health clinic Operational/Managerial Control Oct 1, 2025
Musc Health Primary Care - Thurgood Marshall BlvdKingstree, SC, CCN 423448 Rural health clinic Operational/Managerial Control (100%) Dec 1, 2022
Musc Community PhysiciansBranchville, SC, CCN 423856 Rural health clinic Operational/Managerial Control (100%) Aug 1, 2021

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.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1497039390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ASHLEY AVE",
            "address_2": "ROOM 618",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258907",
            "telephone_number": "843-792-5691",
            "fax_number": "843-792-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7771 PALMETTO COMMERCE PKWY RM 404",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294208825",
            "telephone_number": "843-792-2866",
            "fax_number": "843-985-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "843-792-8775"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "SC",
            "license": "13497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713497",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUSC- Mail Order Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MUSC- Mail Order Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.