NPIMap

Organization Active NPI

S.C. Department of Health and Environmental Control

  • Pharmacy
  • Conway, SC
National Provider Identifier
1760682108
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50008351 Issued in SC
Legal business name
S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Practice address
1931 Industrial Park Road
Conway, SC 29526
Phone
(843) 915-8820
Fax
(843) 365-0110
NPI assigned
Jul 24, 2007
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mrs. Caroline Y Sojourner, RPH
Title
Director
Phone
(803) 898-0813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50008351 SC Primary

Addresses

Primary practice location

1931 Industrial Park Road
Conway, SC 29526

Mailing address

1751 Calhoun St
PO Box 101106
Columbia, SC 29201-2606
Phone (803) 898-0813

Other identifiers 1

IdentifierTypeStateIssuer
783511MedicaidSC

Other names 1

  • DHEC Region 6 Health District Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Scdhec280 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

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1760682108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 CALHOUN ST",
            "address_2": "PO BOX 101106",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012606",
            "telephone_number": "803-898-0813",
            "fax_number": "803-898-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 INDUSTRIAL PARK ROAD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-915-8820",
            "fax_number": "843-365-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SOJOURNER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "803-898-0813",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50008351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "783511",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHEC Region 6 Health District Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.