Organization Active NPI

Hawthorne Pelion Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Pelion, SC
National Provider Identifier
1770628653
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2188 Issued in SC
Legal business name
HAWTHORNE PELION PHARMACY, INC.
Practice address
8073 Edmund Highway
Pelion, SC 29123-9805
Phone
(803) 894-4010
Fax
(803) 894-5150
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Kristie Cassidy
Title
Owner
Phone
(803) 227-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2188 SC Primary

Addresses

Primary practice location

8073 Edmund Highway
Pelion, SC 29123-9805

Mailing address

PO Box 506
Pelion, SC 29123-0506
Phone (803) 227-4464

Other identifiers 3

IdentifierTypeStateIssuer
18414OtherSCPHARMACY PERMIT NUMBER
4215376OtherNCPDP
7Z1018MedicaidSC

Other names 1

  • BIG S DISCOUNT DRUG Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190701001763 SC Part B Supplier - Mass Immunization (Roster Biller Only) 2264766880 Practice locations: Pelion, SC

National Provider Directory

National Provider Directory

Locations

8073 Edmund Hwy
Pelion, SC 29123
Phone (803) 894-4010

Practitioners & affiliated clinicians

Practitioners 3

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1770628653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "PELION",
            "state": "SC",
            "postal_code": "291230506",
            "telephone_number": "803-227-4464",
            "fax_number": "803-638-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8073 EDMUND HIGHWAY",
            "city": "PELION",
            "state": "SC",
            "postal_code": "291239805",
            "telephone_number": "803-894-4010",
            "fax_number": "803-894-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE PELION PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-227-4464"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "2188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT NUMBER",
            "identifier": "18414",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4215376",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7Z1018",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG S DISCOUNT DRUG",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BIG S DISCOUNT DRUG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pelion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.