NPIMap

Organization Active NPI

Caresouth Carolina Inc

Doing business as CSC Community Pharmacy-McColl

  • Pharmacy
  • McColl, SC
National Provider Identifier
1770143281
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CARESOUTH CAROLINA INC
Doing business as
CSC Community Pharmacy-McColl
Practice address
3080 Highway 15-401 E
MC Coll, SC 29570-6128
Phone
(843) 523-6212
NPI assigned
Jun 17, 2019
Last updated
Jun 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Ann M Lewis
Title
Ceo
Phone
(843) 857-0111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

3080 Highway 15-401 E
MC Coll, SC 29570-6128

Mailing address

3080 Highway 15-401 E
MC Coll, SC 29570-6128
Phone (843) 523-6212

Other names 1

  • CSC Community Pharmacy-McColl Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.medfusion.net/caresouthcarolina-24591/portal/#/user/login

National Provider Directory

National Provider Directory
Tax ID family
Caresouth Carolina Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

3080 Highway 15-401 E
Mc Coll, SC 29570
Phone (843) 523-5751

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1770143281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 HIGHWAY 15-401 E",
            "city": "MC COLL",
            "state": "SC",
            "postal_code": "295706128",
            "telephone_number": "843-523-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HIGHWAY 15-401 E",
            "city": "MC COLL",
            "state": "SC",
            "postal_code": "295706128",
            "telephone_number": "843-523-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH CAROLINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-857-0111"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.medfusion.net/caresouthcarolina-24591/portal/#/user/login",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "address_1": "3080 Highway 15-401 E",
            "city": "Mc Coll",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295706128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CSC Community Pharmacy-McColl",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McColl, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.