Choice Pharmacy at Celia Saxon LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50009606 Issued in SC

Legal business name

CHOICE PHARMACY AT CELIA SAXON LLC

Doing business as

Choicecare Pharmacy

Practice address

2012 Harden St
Suite 102
Columbia, SC 29204-0915

Phone

(803) 931-3200

Fax

(803) 931-3290

NPI assigned

Aug 29, 2007

Last updated

Sep 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Moorer

Title

Owner

Phone

(803) 361-7706

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHOICECARE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1912191305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "EASTWOOD",
            "state": "KY",
            "postal_code": "400180063",
            "telephone_number": "803-361-0788",
            "fax_number": "803-931-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 HARDEN ST",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292040915",
            "telephone_number": "803-931-3200",
            "fax_number": "803-931-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PHARMACY AT CELIA SAXON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "MOORER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-361-7706"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50009606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4227179",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOICECARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deron Chisolm, LISW
• Jai-Ik Cho, D.M.D
• Siva Kumar Chockalingam, MD
• Christine Sun-Mi Choi, M.D.
• Gwen Caroline Choi, MD
• Alay Choksi
• Nicolas Chong Lugon, M.D.
• Judith A Chontos-Komorowski, MD
• Leyla Choobineh, M.D.
• Choochoos Miracle Corner Corporation

• Community/Retail Pharmacy in Columbia, SC
• Providers in 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 Sep 7, 2010; 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.