NPIMap

Organization Active NPI

Prisma Health-Midlands

Doing business as Pharmacy-Ehnanced Medicaid

  • Infusion Therapy Clinic/Center
  • Columbia, SC
National Provider Identifier
1942369624
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
PRISMA HEALTH-MIDLANDS
Doing business as
Pharmacy-Ehnanced Medicaid
Pharmacy-Enhanced Medicaid
Practice address
Palmetto Health - Enhanced Medicaid
3301 Harden St Ext 7MP
Columbia, SC 29203-9965
Phone
(803) 296-2548
Fax
(803) 296-2548
NPI assigned
Dec 8, 2006
Last updated
Feb 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PRISMA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Polly H Miller
Title
VP Payor Strategies Alignment
Phone
(864) 522-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

Palmetto Health - Enhanced Medicaid
3301 Harden St Ext 7MP
Columbia, SC 29203-9965

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 296-2548

Other identifiers 1

IdentifierTypeStateIssuer
IC0006MedicaidSC

Other names 2

  • Pharmacy-Ehnanced Medicaid Doing business as
  • Pharmacy-Enhanced Medicaid Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Karla.powell@prismahealth.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Palmetto OBGYN Associates105 organizations share this tax ID, including this one
Part of
Palmetto OBGYN Associates

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1942369624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "803-296-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PALMETTO HEALTH - ENHANCED MEDICAID",
            "address_2": "3301 HARDEN ST EXT 7MP",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039965",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRISMA HEALTH",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VP PAYOR STRATEGIES ALIGNMENT",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IC0006",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Karla.powell@prismahealth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "Palmetto Health - Enhanced Medicaid",
            "address_2": "3301 Harden St Ext 7MP",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292039965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pharmacy-Ehnanced Medicaid",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy-Enhanced Medicaid",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharmacy-Enhanced Medicaid",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.