NPIMap

Organization Active NPI

Sandhills Medical Foundation, Inc.

  • Community/Retail Pharmacy
  • Jefferson, SC
National Provider Identifier
1881925501
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10706 Issued in SC
Legal business name
SANDHILLS MEDICAL FOUNDATION, INC.
Practice address
409 E Church St
Jefferson, SC 29718-8701
Phone
(843) 658-3006
Fax
(843) 658-7811
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Alyssa Norwood, PHARMD
Title
Director of Pharmacy
Phone
(803) 438-5537

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 10706 SC Primary

Addresses

Primary practice location

409 E Church St
Jefferson, SC 29718-8701

Mailing address

409 E Church St
Jefferson, SC 29718-8701
Phone (843) 658-3006

Other identifiers 2

IdentifierTypeStateIssuer
2123401OtherPK
710706MedicaidSC

Other names 1

  • JEFFERSON DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sandhills Medical Foundation Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1881925501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E CHURCH ST",
            "city": "JEFFERSON",
            "state": "SC",
            "postal_code": "297188701",
            "telephone_number": "843-658-3006",
            "fax_number": "843-658-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E CHURCH ST",
            "city": "JEFFERSON",
            "state": "SC",
            "postal_code": "297188701",
            "telephone_number": "843-658-3006",
            "fax_number": "843-658-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS MEDICAL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "NORWOOD",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "803-438-5537",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "10706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123401",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710706",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFERSON DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.