NPIMap

Organization Active NPI

Lifeoutcomes.Com Inc.

  • Durable Medical Equipment & Medical Supplies
  • West Columbia, SC
National Provider Identifier
1922075985
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
50007198 Issued in SC
Legal business name
LIFEOUTCOMES.COM INC.
Practice address
104 Corporate Blvd
Suite 410
West Columbia, SC 29169-4600
Phone
(803) 791-5098
Fax
(803) 791-9669
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Michael Blakely, PHARMACIST
Title
VP & Coo
Phone
(803) 791-5098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50007198 SC Primary

Addresses

Primary practice location

104 Corporate Blvd
Suite 410
West Columbia, SC 29169-4600

Mailing address

104 Corporate Blvd
Suite 410
West Columbia, SC 29169-4600
Phone (803) 791-5098

Other names 1

  • LIFEOUTCOMES HOME PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Lifelink Monitoring LLC2 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.

Locations

104 Corporate Blvd
Ste 410
West Columbia, SC 29169
Phone (803) 791-5098

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922075985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CORPORATE BLVD",
            "address_2": "SUITE 410",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694600",
            "telephone_number": "803-791-5098",
            "fax_number": "803-791-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CORPORATE BLVD",
            "address_2": "SUITE 410",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694600",
            "telephone_number": "803-791-5098",
            "fax_number": "803-791-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEOUTCOMES.COM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKELY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VP & COO",
        "authorized_official_telephone_number": "803-791-5098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50007198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFEOUTCOMES HOME PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.