Active NPI
Harness Health Pharmacy - South Carolina LLC
Doing business as Harness Health Pharmacy #401
- Community/Retail Pharmacy
- Simpsonville, SC
National Provider Identifier
1912647306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HARNESS HEALTH PHARMACY - SOUTH CAROLINA LLC
- Doing business as
- Harness Health Pharmacy #401
- Practice address
- 3970 Grandview Dr
Simpsonville, SC 29680-3163 - Phone
- (864) 757-3900
- NPI assigned
- Apr 1, 2022
- 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
- Kimberly Ralston
- Title
- System Director
- Phone
- (419) 996-5119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3970 Grandview Dr
Simpsonville, SC 29680-3163
Mailing address
3970 Grandview Dr
Simpsonville, SC 29680-3163
Phone (864) 757-3900
Other names 1
- HARNESS HEALTH PHARMACY #401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230208000126 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 3678945250 | Practice locations: Simpsonville, SC |
| O20240827000392 | SC | DME Supplier - Pharmacy | 3678945250 | Practice locations: Simpsonville, 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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Harness Health Pharmacy - South Car | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Harness Health Pharmacy - South Carolina LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Harness Health Pharmacy #402
- Community/Retail Pharmacy
- Greenville, SC
- NPI 1487412672
Locations
3970 Grandview Dr
#401
Simpsonville, SC 29680
Phone (864) 757-3900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649289600000",
"number": "1912647306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3970 GRANDVIEW DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296803163",
"telephone_number": "864-757-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 GRANDVIEW DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296803163",
"telephone_number": "864-757-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARNESS HEALTH PHARMACY - SOUTH CAROLINA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A",
"authorized_official_last_name": "RALSTON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "SYSTEM DIRECTOR",
"authorized_official_telephone_number": "419-996-5119"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HARNESS HEALTH PHARMACY #401",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HARNESS HEALTH PHARMACY #401",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.