NPIMap

Organization Active NPI

Sunrise Medications Inc

Doing business as Medi Home Pharmacy

  • Pharmacy
  • Irmo, SC
National Provider Identifier
1952308280
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
15202 Issued in SC
Legal business name
SUNRISE MEDICATIONS INC
Doing business as
Medi Home Pharmacy
Practice address
2 Palmetto Wood Pkwy
Ste 100
Irmo, SC 29063-2881
Phone
(877) 936-1045
Fax
(877) 936-9735
NPI assigned
Jul 1, 2005
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Mrs. Christina M Jeffcoat
Title
Vice President
Phone
(803) 957-0500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 15202 SC Primary
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

2 Palmetto Wood Pkwy
Ste 100
Irmo, SC 29063-2881

Mailing address

PO Box 1928
Lexington, SC 29071-1928
Phone (803) 957-0500

Other identifiers 1

IdentifierTypeStateIssuer
715202MedicaidSC

Other names 1

  • Medi Home Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 32

Organizations listed as members of this organization in the National Provider Directory.

View all 32

Locations

2 Palmetto Wood Pkwy
Ste 102
Irmo, SC 29063
Phone (800) 672-6334

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1952308280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1928",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290711928",
            "telephone_number": "803-957-0500",
            "fax_number": "888-342-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PALMETTO WOOD PKWY",
            "address_2": "STE 100",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632881",
            "telephone_number": "877-936-1045",
            "fax_number": "877-936-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "JEFFCOAT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "803-957-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "15202",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "715202",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi Home Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medi Home Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.