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
- Last updated
- Apr 1, 2020
- 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 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 4
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
- 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.