Active NPI
Sunshine Pharmacy Services LLC
Doing business as South Lake Drug
- Community/Retail Pharmacy
- Lexington, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 16079
- Legal business name
- SUNSHINE PHARMACY SERVICES LLC
- Doing business as
- South Lake Drug
- 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
- Last updated
- Jun 14, 2023
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 16079 | SC | Primary |
Addresses
Primary practice location
1856 S Lake Dr Ste K
Lexington, SC 29073-7225
Mailing address
634 Pine Ridge Dr Ste B
West Columbia, SC 29172-1885
Phone (803) 939-8489
Other names 1
- South Lake Drug
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150930000866 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0143538868 | Practice locations: Lexington, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2343852 | South Lake Drug | Certificate of waiver | May 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
1856 S Lake Dr
Ste K
Lexington, SC 29073
Phone (803) 399-7701
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- West Columbia, SC
- NPI 1275490468
-
- Pharmacist
- Lexington, SC
- NPI 1417332925
-
- Pharmacist
- Lexington, SC
- NPI 1821568833
NPI Registry JSON
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": [],
"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"
}
]
}
Other providers in Lexington, SC
Sources for this page
- 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.