Sunset Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50001351 Issued in SC

Legal business name

SUNSET PHARMACY INC

Practice address

101 Professional Ave
West Columbia, SC 29169-4711

Phone

(803) 794-6440

Fax

(803) 739-1420

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Robin EllisorNPI 1790999050

Title

Owner

Phone

(803) 794-6440

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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

Medicare medical equipment & supply locations

Tax ID family

Sunset Nursing Supply2 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.

• Sunset Nursing Supply

  • Institutional Pharmacy
  • West Columbia, SC
  • NPI 1225243074
  NPD tax ID

Locations

Practitioners 3

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

• Jennifer Robin Ellisor, RPH, PHARMD

  • Pharmacist
  • West Columbia, SC
  • NPI 1790999050
  NPD Authorized official
• Walter Gerald Ellisor, RPH

  • Pharmacist
  • West Columbia, SC
  • NPI 1740494095
  NPD (past)
• Michael Wayne Sturkie, RPH

  • Pharmacist
  • West Columbia, SC
  • NPI 1518171883
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1902855984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694711",
            "telephone_number": "803-794-6440",
            "fax_number": "803-739-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694711",
            "telephone_number": "803-794-6440",
            "fax_number": "803-739-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "ELLISOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-794-6440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50001351",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50001351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4201226",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713518",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynne Summerour
• Pamela Summers, RN
• Sunset Family Practice ,LLC
• Sunset Nursing Supply
• Sunset Periodontics, LLC
• Sunset Primary Care
• Superkidz Pediatric Therapy, LLC
• Superkidz Pediatric Therapy, LLC
• Mark Joseph Sutherland, MD
• SVS Hydration & Wellness Lounge, LLC

• Community/Retail Pharmacy in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.