Active NPI
Hawthorne Pelion Pharmacy, Inc.
- Community/Retail Pharmacy
- Pelion, SC
National Provider Identifier
1770628653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2188
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18414 | Other | SC | PHARMACY PERMIT NUMBER |
| 4215376 | Other | NCPDP | |
| 7Z1018 | Medicaid | SC |
Other names 1
- BIG S DISCOUNT 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 |
|---|---|---|---|---|
| O20190701001763 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 2264766880 | Practice locations: Pelion, SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacy Technician
- Columbia, SC
- NPI 1649846544
-
- Pharmacist
- Pelion, SC
- NPI 1639728736
-
- Pharmacist
- Columbia, SC
- NPI 1497355242
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
- Eau Claire Cooperative Health Center, Inc
- Eau Claire Cooperative Health Center, Inc.
- Jasmine Fox-Bookhardt, PA-C
- Wanda D Gibson, DDS
- Jennifer L Golden, MCD, CCC-SLP
- Chermaine Latrice Lyde, DMD
- Kerri Anne McLaughlin, MBA, ATC
- Rhonda Lynn Parker, M.A
- Zachery Thomas Richards, MS, SCAT, ATC
- Selma Saunders, NP
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.