Organization Active NPI

Palmetto RX Solutions Inc

  • Long Term Care Pharmacy
  • Columbia, SC
National Provider Identifier
1710069596
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
9039 Issued in SC
Legal business name
PALMETTO RX SOLUTIONS INC
Practice address
8 Harbison Way
Columbia, SC 29212-3402
Phone
(803) 454-2290
Fax
(803) 454-2294
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Tomkies Mitchell, RPHNPI 1083781744
Title
President
Phone
(803) 454-2290

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)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 9039 SC Primary

Addresses

Primary practice location

8 Harbison Way
Columbia, SC 29212-3402

Mailing address

8 Harbison Way
Columbia, SC 29212-3402
Phone (803) 454-2290

Other identifiers 1

IdentifierTypeStateIssuer
2093090OtherPK

Other names 1

  • PALMETTO RX SOLUTIONS INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071026000057 SC Part B Supplier - Mass Immunization (Roster Biller Only) 1355438185 Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

8 Harbison Way
Columbia, SC 29212
Phone (803) 261-3260

Practitioners & affiliated clinicians

Practitioners 3

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1710069596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HARBISON WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123402",
            "telephone_number": "803-454-2290",
            "fax_number": "803-454-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HARBISON WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123402",
            "telephone_number": "803-454-2290",
            "fax_number": "803-454-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO RX SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TOMKIES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-454-2290",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SC",
            "license": "9039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALMETTO RX SOLUTIONS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.