NPIMap

Organization Active NPI

State of South Carolina

  • Pharmacy
  • North Charleston, SC
National Provider Identifier
1699130765
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
16094 Issued in SC
Legal business name
STATE OF SOUTH CAROLINA
Practice address
3685 Rivers Ave
North Charleston, SC 29405-8057
Phone
(843) 953-4339
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Caroline Sojourner, RPH
Title
Pharmacy Director
Phone
(803) 898-0813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 16094 SC Primary

Addresses

Primary practice location

3685 Rivers Ave
North Charleston, SC 29405-8057

Mailing address

2100 Bull St
Columbia, SC 29201-2104
Phone (803) 898-0813

Other names 3

  • SCDPH Lowcountry Region Pharmacy Doing business as
  • DHEC Lowcountry Bridge View Pharmacy Other name
  • SC Department of Public Health Other name

National Provider Directory

National Provider Directory
Tax ID family
SC Dept of Health and Environmental Control280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3685 Rivers Ave
North Charleston, SC 29405
Phone (843) 801-4058

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1699130765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BULL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012104",
            "telephone_number": "803-898-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058057",
            "telephone_number": "843-953-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "SOJOURNER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "803-898-0813",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "16094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCDPH Lowcountry Region Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DHEC Lowcountry Bridge View Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SC Department of Public Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.