Active NPI
Hawthorne Pharmacy Sunset Inc.
- Community/Retail Pharmacy
- West Columbia, SC
National Provider Identifier
1598774366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50-005845
- Legal business name
- HAWTHORNE PHARMACY SUNSET INC.
- Practice address
- 2854 Sunset Blvd
West Columbia, SC 29169-3420 - Phone
- (803) 794-7990
- Fax
- (803) 739-0893
- NPI assigned
- Aug 7, 2006
- 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
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 50-005845 | SC | Primary |
Addresses
Primary practice location
2854 Sunset Blvd
West Columbia, SC 29169-3420
Mailing address
2854 Sunset Blvd
West Columbia, SC 29169-3420
Phone (803) 794-7990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130821000164 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 4385855030 | Practice locations: West Columbia, SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Columbia, SC
- NPI 1497355242
-
- Pharmacist
- West Columbia, SC
- NPI 1578978391
-
- Pharmacist
- West Columbia, SC
- NPI 1194586982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585699200000",
"number": "1598774366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2854 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693420",
"telephone_number": "803-794-7990",
"fax_number": "803-739-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693420",
"telephone_number": "803-794-7990",
"fax_number": "803-739-0893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWTHORNE PHARMACY SUNSET INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "50-005845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.