Active NPI
Hawthorne Pharmacy, Inc.
- Community/Retail Pharmacy
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50005846
- 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
- Last updated
- Nov 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristie Cassidy, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130820001073 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 0042453136 | Practice locations: Columbia, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2183322 | Hawthorne Pharmacy, Inc | Certificate of waiver | May 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
1500 Taylor St
Columbia, SC 29201
1520 Taylor St
#A
Columbia, SC 29201
Phone (803) 227-4452
Practitioners & affiliated clinicians
Practitioners 17
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.
-
- Pharmacist
- Columbia, SC
- NPI 1093128985
-
- Pharmacist
- Columbia, SC
- NPI 1407536055
-
- Pharmacist
- Columbia, SC
- NPI 1750953683
-
- Pharmacist
- Columbia, SC
- NPI 1740064120
-
- Pharmacist
- Columbia, SC
- NPI 1497355242
-
- Pharmacist
- Camden, SC
- NPI 1376229690
-
- Pharmacist
- Columbia, SC
- NPI 1265849533
-
- Pharmacist
- Columbia, SC
- NPI 1760084834
-
- Pharmacist
- Columbia, SC
- NPI 1174259188
-
- Pharmacist
- Columbia, SC
- NPI 1508684168
-
- Pharmacy Technician
- Columbia, SC
- NPI 1649846544
-
- Pharmacist
- Columbia, SC
- NPI 1376468033
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.