Organization Active NPI

Hawthorne Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Columbia, SC
National Provider Identifier
1891704672
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50005846 Issued in SC
Legal business name
HAWTHORNE PHARMACY, INC.
Practice address
1520A Taylor St
Columbia, SC 29201-2919
Phone
(803) 256-3440
Fax
(803) 256-9727
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Mrs. Kristie Cassidy, RPHNPI 1093128985
Title
Vice-President
Phone
(803) 227-4464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50005846 SC Primary

Addresses

Primary practice location

1520A Taylor St
Columbia, SC 29201-2919

Mailing address

1520A Taylor St
Columbia, SC 29201-2919
Phone (803) 256-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130820001073 SC Part B Supplier - Mass Immunization (Roster Biller Only) 0042453136 Practice locations: Columbia, SC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2183322Hawthorne Pharmacy, Inc1520A Taylor Street, Columbia, SC 29201Certificate of waiverMay 3, 2028

National Provider Directory

National Provider Directory

Locations

1500 Taylor St
Columbia, SC 29201

1520 Taylor St
#A
Columbia, SC 29201
Phone (803) 227-4452

1520 Taylor St
Columbia, SC 29201
Phone (803) 254-8449

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1891704672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520A TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012919",
            "telephone_number": "803-256-3440",
            "fax_number": "803-256-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520A TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012919",
            "telephone_number": "803-256-3440",
            "fax_number": "803-256-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "803-227-4464",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50005846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.