Pouring 4 Purpose, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

POURING 4 PURPOSE, LLC

Practice address

1416 Bethlehem Rd
Hartsville, SC 29550-1716

Phone

(843) 250-6679

NPI assigned

Nov 29, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Drake

Title

Director

Phone

(336) 306-2200

Specialties & licenses 5

Addresses

Tax ID family

Pouring 4 Purpose LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pouring 4 Purpose, LLC

  • Case Management Agency
  • Hartsville, SC
  • NPI 1255875647
  NPD tax ID
• Pouring 4 Purpose, LLC

  • Non-emergency Medical Transport (VAN)
  • Hartsville, SC
  • NPI 1508300773
  NPD tax ID

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1922541671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 BETHLEHEM RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295501716",
            "telephone_number": "336-306-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 BETHLEHEM RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295501716",
            "telephone_number": "843-250-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POURING 4 PURPOSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-306-2200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Laverne Poston Jr., PHARM.D.
• Megan Anne Potts, ATC
• Krista Michelle Poulton, FNP-BC
• Pouring 4 Purpose, LLC
• Pouring 4 Purpose, LLC
• Joseph Williamson Powell Jr., M.D.
• Premise Health of South Carolina Medical PC
• Prestwood Radiology, LLP
• Daronda Price
• Sharla Bush Price, D.M.D.

• Counselor in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.