NPIMap

Organization Active NPI

Beaufort-Jasper-Hampton Comprehensive Health Service Inc

  • Community/Retail Pharmacy
  • Port Royal, SC
National Provider Identifier
1508994872
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6894 Issued in SC
Legal business name
BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE INC
Practice address
1320 Ribaut Rd
Port Royal, SC 29935-1118
Phone
(843) 332-1832
Fax
(843) 522-1286
NPI assigned
Mar 1, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Faith Lawrence Polkey, MD
Title
Chief Executive Officer
Phone
(843) 987-7400

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Beaufort-Jasper-Hampton Comprehensive Health Serviceinc (23 organizations share this tax ID)

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 6894 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

1320 Ribaut Rd
Port Royal, SC 29935-1118

Mailing address

PO Box 357
Ridgeland, SC 29936-2605
Phone (843) 322-1832

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
768947MedicaidSC
2092251OtherPK

Other names 1

NPPES NPI Registry
  • BJHCHS Port Royal Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2023.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1508994872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362605",
            "telephone_number": "843-322-1832",
            "fax_number": "843-522-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351118",
            "telephone_number": "843-332-1832",
            "fax_number": "843-522-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "POLKEY",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "843-987-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "6894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768947",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BJHCHS Port Royal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Royal, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.