Rock Hill Treatment Specialists, Inc

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

ROCK HILL TREATMENT SPECIALISTS, INC

Practice address

1274 E Main St
Rock Hill, SC 29730-5948

Phone

(803) 526-7666

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Brent Tyler Brady, RPHNPI 1649921966

Title

Owner / Program Sponsor

Phone

(864) 616-5031

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Tyler Brady, RPH

  • Pharmacist
  • Rock Hill, SC
  • NPI 1649921966
  NPD Authorized official
• Jay Grayson Fernando, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1750337325
  NPD
• Hayley Smith, MS, CACII

  • Addiction (Substance Use Disorder) Counselor
  • Greenwood, SC
  • NPI 1932651643
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1629553607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WELLING CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073936",
            "telephone_number": "803-526-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 E MAIN ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305948",
            "telephone_number": "803-526-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK HILL TREATMENT SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER / PROGRAM SPONSOR",
        "authorized_official_telephone_number": "864-616-5031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rock Hill School District Three
• Rock Hill Senior Solutions LLC (Acti-Kare Responsive in-Home Care)
• Rock Hill Sleep Center, LLC
• Rock Hill Surgery Center, LLC (Carolina Surgical Center)
• Rock Hill Surgical Associates PA
• Rock Hill VA
• Andrea Rock, RBT
• David Kyle Rockholt, PHARM.D.
• Rocky Mountain Holdings LLC
• Randolph L Rodrigue, MD

• Methadone Clinic in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Methadone Clinic in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.

Verify at the official NPI Registry.