Ebenezer Health Investors Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EBENEZER HEALTH INVESTORS INC

Doing business as

True Pharmacy on Devine

Practice address

3217 Devine St
Columbia, SC 29205-1847

Phone

(803) 849-1500

NPI assigned

May 12, 2020

Last updated

Jun 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle McHugh, RPH

Title

President

Phone

(803) 849-1500

Specialties & licenses 1

Addresses

Other names 1

• True Pharmacy on Devine Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Simons Beard, PHARMD

  • Pharmacist
  • Columbia, SC
  • NPI 1487262036
  NPD
• Alexandria Coleman, PHARMD

  • Pharmacist
  • Columbia, SC
  • NPI 1790661023
  NPD (past)

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1851913974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290530310",
            "telephone_number": "803-849-1500",
            "fax_number": "803-849-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 DEVINE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051847",
            "telephone_number": "803-849-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER HEALTH INVESTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-849-1500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "accounting@gstonfp.com",
            "affiliation": "N",
            "endpointDescription": "secured email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "messaging only no patient info",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3217 Devine St",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292051847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "True Pharmacy on Devine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "True Pharmacy on Devine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rukiah Ayu Ebel IV
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• Elizabeth Eberts
• Joan Eccleston
• William Reed Echols, DO
• Matthew Rion Eckermann, DO

• Community/Retail Pharmacy in Columbia, SC
• Providers in Columbia, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.