NPIMap

Organization Active NPI

TLC Medical Centre, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Aiken, SC
National Provider Identifier
1720070972
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
50-007024 Issued in SC
Legal business name
TLC MEDICAL CENTRE, INC.
Practice address
190 Crepe Myrtle CT
Aiken, SC 29803-7543
Phone
(803) 648-7800
NPI assigned
Aug 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Ms. Zoom Hoang Heaton, RPH, CDENPI 1477891539
Title
Chief Pharmacist President
Phone
(803) 648-7800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50-007024 SC Primary
Pharmacy 333600000X 50-007024 SC

Addresses

Primary practice location

190 Crepe Myrtle CT
Aiken, SC 29803-7543

Mailing address

190 Crepe Myrtle CT
Aiken, SC 29803-7543
Phone (803) 648-7800

Other identifiers 1

IdentifierTypeStateIssuer
DE2364MedicaidSC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

190 Crepe Myrtle Dr
Aiken, SC 29803
Phone (803) 648-7800

Practitioners & affiliated clinicians

Practitioners 5

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": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1720070972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CREPE MYRTLE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037543",
            "telephone_number": "803-648-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CREPE MYRTLE CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037543",
            "telephone_number": "803-648-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL CENTRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "HEATON",
        "authorized_official_first_name": "ZOOM",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "CHIEF PHARMACIST PRESIDENT",
        "authorized_official_telephone_number": "803-648-7800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH, CDE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50-007024",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50-007024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2364",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.