Coram Healthcare Corporation of South Carolina

Primary specialty

PharmacyTaxonomy code 333600000X

License

50-003160 Issued in SC

Legal business name

CORAM HEALTHCARE CORPORATION OF SOUTH CAROLINA

Practice address

1941 Savage Rd
Suite 500Aa
Charleston, SC 29407-4704

Phone

(843) 769-5544

Fax

(843) 769-4300

NPI assigned

Aug 13, 2006

Last updated

Sep 11, 2025By 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

Vito Ponzio Jr.

Title

Sr VP

Phone

(303) 672-8631

Specialties & licenses 8

Addresses

Other identifiers 4

Tax ID family

Coram Healthcare Corporation of South Carolina2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Coram Healthcare Corporation of South Carolina

  • Specialty Pharmacy
  • Denver, CO
  • NPI 1003954223
  NPD tax ID

Locations

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881606093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BROADWAY",
            "address_2": "SUITE 900",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802024675",
            "telephone_number": "303-672-8631",
            "fax_number": "303-298-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SAVAGE RD",
            "address_2": "SUITE 500AA",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074704",
            "telephone_number": "843-769-5544",
            "fax_number": "843-769-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM HEALTHCARE CORPORATION OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PONZIO",
        "authorized_official_first_name": "VITO",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "303-672-8631",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "SC",
            "license": "50-003160",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50-003160",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50-003160",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "SC",
            "license": "50-003160",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "SC",
            "license": "50-003160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX LICENSE",
            "identifier": "50-003160",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731608",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4219350",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME151",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee S Copley, PA-C
• Holly Erin Coppage, MS
• Anthony Coppola, MD
• Samantha Coppola, LCSW
• Cora South Carolina LLC (CORA Physical Therapy - West Ashley)
• Rebecca Corbett
• Joanna Lynn Corbit, O.D.
• Patricia Ann Corcoran, FNP-C
• Catherine Elizabeth Cordeiro, FNP
• Christopher Thomas Cordeiro

• Pharmacy in Charleston, SC
• Providers in Charleston, SC by specialty
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.