Active NPI
Sun City Family Pharmacy LLC
- Community/Retail Pharmacy
- Indian Land, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SUN CITY FAMILY PHARMACY LLC
- Practice address
- 8177 Charlotte Highway
Suite 102
Indian Land, SC 29707 - Phone
- (803) 207-1210
- NPI assigned
- Dec 13, 2022
- Last updated
- Jul 11, 2023
- 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
- Kajalben P Patel, PHARMACIST
- Title
- Pharmacy Manager
- Phone
- (803) 207-1210
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
8177 Charlotte Highway
Suite 102
Indian Land, SC 29707
Mailing address
8177 Charlotte Hwy Ste 102
Indian Land, SC 29707-9658
Phone (803) 228-7990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230922002956 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 1355795469 | Practice locations: Indian Land, SC |
National Provider Directory
National Provider DirectoryLocations
8177 Charlotte Hwy
Ste 102
Indian Land, SC 29707
Phone (803) 228-7900
Practitioners & affiliated clinicians
Practitioners 1
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
- Gastonia, NC
- NPI 1952072951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1609587344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8177 CHARLOTTE HWY STE 102",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297079658",
"telephone_number": "803-228-7990",
"fax_number": "803-376-9723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8177 CHARLOTTE HIGHWAY",
"address_2": "SUITE 102",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "29707",
"telephone_number": "803-207-1210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN CITY FAMILY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-13",
"last_updated": "2023-07-11",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "KAJALBEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "803-207-1210",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Land, SC
- Ross E Stuart, PT
- Subconscious Therapy Solutions LLC
- Abiha Subzwari
- Curtis Valentine Sullivan
- Summit Care Services LLC
- Brian Keith Sutton
- Nathan Robert Terry I, D.C.
- The Charlotte-Mecklenburg Hospital Authority (Levine Cancer Institute)
- Therapy Institute of the Carolinas, LLC
- Therapy Institute of the Carolinas, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.