Sunshine Pharmacy Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16079 Issued in SC

Legal business name

SUNSHINE PHARMACY SERVICES LLC

Practice address

1856 S Lake Dr Ste K
Lexington, SC 29073-7225

Phone

(803) 399-7701

Fax

(803) 399-7702

NPI assigned

Jul 21, 2015

Organization subpart

No

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

Authorized official

Name

Kyle McHugh

Title

Owner

Phone

(803) 399-7701

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• South Lake Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Craig Harmon, R.PH.

  • Pharmacist
  • Lexington, SC
  • NPI 1417332925
  NPD (past)
• Hannah Yandle Hodge, PHARMD

  • Pharmacist
  • Lexington, SC
  • NPI 1821568833
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1730564733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 PINE RIDGE DR STE B",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291721885",
            "telephone_number": "803-939-8489",
            "fax_number": "803-399-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 S LAKE DR STE K",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737225",
            "telephone_number": "803-399-7701",
            "fax_number": "803-399-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-399-7701"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "16079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151773",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716079",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Lake Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Lake Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Lauren Summers, DENTAL HYGIENIST
• Lanita Sumpter, OT
• Rosialee Sumpter
• Sophie Rose Sumpter, LMSW
• Sunset Children'S Dentistry
• Bambi Hicks Surface, RBT
• Susan Sullivan Nutrition LLC
• Paula Slover Suthard, PT
• Deana Sutton
• Timothy Sutton, PT

• Community/Retail Pharmacy in Lexington, SC
• Providers in Lexington, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.