Active NPI
Total Care Medical Center LLC
- Community/Retail Pharmacy
- Aiken, SC
National Provider Identifier
1821117375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- TOTAL CARE MEDICAL CENTER LLC
- Practice address
- 190 Crepe Myrtle Dr
Aiken, SC 29803-7543 - Phone
- (803) 648-7800
- Fax
- (803) 648-7277
- NPI assigned
- Mar 28, 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
- Kenneth Stephen Hibbitts
- Title
- Owner/Manager
- Phone
- (803) 648-7800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
190 Crepe Myrtle Dr
Aiken, SC 29803-7543
Mailing address
PO Box 6295
Aiken, SC 29804-6295
Phone (803) 648-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770245 | Medicaid | SC |
Other names 1
- Total Care Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240618002906 | SC | Part B Supplier - Pharmacy | 3274076229 | Practice locations: Aiken, SC |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Aiken, SC
- NPI 1720070972
Member Of
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Aiken, SC
- NPI 1558052639
-
- Pharmacist
- Aiken, SC
- NPI 1003681933
-
- Pharmacist
- Aiken, SC
- NPI 1376801290
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Aiken, SC
- NPI 1477891539
-
- Pharmacist
- Aiken, SC
- NPI 1427648856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1821117375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6295",
"city": "AIKEN",
"state": "SC",
"postal_code": "298046295",
"telephone_number": "803-648-7800",
"fax_number": "803-648-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 CREPE MYRTLE DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037543",
"telephone_number": "803-648-7800",
"fax_number": "803-648-7277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL CARE MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "HIBBITTS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "803-648-7800"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "770245",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Total Care Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.