NPIMap

Organization Active NPI

Beaufort-Jasper-Hampton Comprehensive Health Service Inc

  • Community/Retail Pharmacy
  • Hardeeville, SC
National Provider Identifier
1891822664
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1679 Issued in SC
Legal business name
BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE INC
Practice address
552 Stiney Rd
Hardeeville, SC 29927
Phone
(843) 322-1870
Fax
(843) 784-6665
NPI assigned
Feb 27, 2007
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Faith Lawrence Polkey, MD
Title
Chief Executive Officer
Phone
(843) 987-7400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X 1679 SC Primary

Addresses

Primary practice location

552 Stiney Rd
Hardeeville, SC 29927

Mailing address

PO Box 357
Ridgeland, SC 29936-2605
Phone (843) 322-1870

Other identifiers 3

IdentifierTypeStateIssuer
42-1912OtherSCMEDICARE
716795MedicaidSC
2088976OtherPK

Other names 1

  • BJHCHS Hardeeville Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Beaufort-Jasper-Hampton Comprehensive Health Serviceinc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1891822664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362605",
            "telephone_number": "843-322-1870",
            "fax_number": "843-784-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 STINEY RD",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "29927",
            "telephone_number": "843-322-1870",
            "fax_number": "843-784-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "POLKEY",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "843-987-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "1679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "42-1912",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716795",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2088976",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BJHCHS Hardeeville Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.