Pilot Club of Columbia Foundation Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PILOT CLUB OF COLUMBIA FOUNDATION INC

Practice address

1746 Westminster Dr
Columbia, SC 29204

Phone

(803) 254-2673

Fax

(803) 252-3649

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Buck Brinson Jr.

Title

Exec Director

Phone

(803) 765-0574

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pilot Club Lifeline Doing business as

Locations

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851376180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50231",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292500231",
            "telephone_number": "803-254-2673",
            "fax_number": "803-252-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 WESTMINSTER DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29204",
            "telephone_number": "803-254-2673",
            "fax_number": "803-252-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILOT CLUB OF COLUMBIA FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRINSON",
        "authorized_official_first_name": "BUCK",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "803-765-0574",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME774",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pilot Club Lifeline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carole L. Pillinger, M.D.
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• Molly Kayleen Pincelli, DMD
• Alma Bounds Pinckney, LMSW
• Imani M Pinckney
• Jeromainya Keyanni Pinckney

• Durable Medical Equipment & Medical Supplies in Columbia, SC
• Providers in Columbia, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.