NPIMap

Organization Active NPI

Three Rivers Midlands

  • Psychiatric Residential Treatment Facility
  • West Columbia, SC
National Provider Identifier
1821524067
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
RTF-0018 Issued in SC
Legal business name
THREE RIVERS MIDLANDS
Doing business as
Three Rivers Midlands Pharmacy
Practice address
200 Ermine Rd
West Columbia, SC 29170-2024
Phone
(803) 791-9918
Fax
(803) 926-5934
NPI assigned
May 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Dr. Michelle Crandall Dansby, PHARMD
Title
Pharmacist in Charge
Phone
(803) 727-1358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X RTF-0018 SC Primary

Addresses

Primary practice location

200 Ermine Rd
West Columbia, SC 29170-2024

Mailing address

200 Ermine Rd
West Columbia, SC 29170-2024
Phone (803) 791-9918

Other names 1

  • Three Rivers Midlands Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abs New Hope Midlands Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

200 Ermine Rd
West Columbia, SC 29170
Phone (803) 791-9918

NPI Registry JSON

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1821524067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ERMINE RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291702024",
            "telephone_number": "803-791-9918",
            "fax_number": "803-926-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ERMINE RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291702024",
            "telephone_number": "803-791-9918",
            "fax_number": "803-926-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS MIDLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "DANSBY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CRANDALL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "803-727-1358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "SC",
            "license": "RTF-0018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Midlands Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.