NPIMap

Organization Active NPI

Medical University Hospital Authority

  • Clinic Pharmacy
  • Orangeburg, SC
National Provider Identifier
1952632234
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Practice address
1161 Cook Rd
Orangeburg, SC 29118-8204
Phone
(803) 395-2730
Fax
(803) 395-2731
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Ericka A Sommers Wilson
Title
Corporate Director
Phone
(843) 792-7810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

1161 Cook Rd
Orangeburg, SC 29118-8204

Mailing address

1161 Cook Rd
Orangeburg, SC 29118-8204
Phone (803) 395-2730

Other identifiers 2

IdentifierTypeStateIssuer
7Z1258MedicaidSC
21182OtherSCSTATE PHARMACY LICENSE

Other names 3

  • MUSC Health - HF Mabry Cancer Center Doing business as
  • MUSC Health-Orangeburg Doing business as
  • HF Mabry Cancer Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121218000509 SC Part B Supplier - Mass Immunization (Roster Biller Only) 1557268950 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charleston, SC; Orangeburg, SC; Lancaster, SC; Florence, SC
O20230606001586 SC DME Supplier - Pharmacy 1557268950 Practice locations: Orangeburg, SC

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0693395Musc Health HF Mabry Cancer Center- Part of Musc1161 Cook Road, Orangeburg, SC 29118AccreditationDec 22, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Musc Orangeburg Pharmacy1161 Cook Rd, Orangeburg, SC 29118-8204(803) 395-2730 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 28, 2020

National Provider Directory

National Provider Directory
Tax ID family
Medical Univ Hosp Authority71 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

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

View all 17

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tidelands Waccamaw Community HospitalMurrells Inlet, SC, CCN 420098 Hospital Operational/Managerial Control Oct 1, 2025
Tidelands Georgetown Memorial HospitalGeorgetown, SC, CCN 420020 Hospital Operational/Managerial Control Oct 1, 2025
Musc Health Lancaster Medical CenterLancaster, SC, CCN 429803 Hospital Operational/Managerial Control (100%) Mar 1, 2019
Musc Health Lancaster Rehabilitation CenterLancaster, SC, CCN 42T036 Hospital Operational/Managerial Control (100%) Mar 1, 2019
Tidelands Georgetown Memorial HospitalGeorgetown, SC, CCN 42U020 Hospital Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine at GeorgetownGeorgetown, SC, CCN 428958 Rural health clinic Operational/Managerial Control Oct 1, 2020
Tidelands Health Family Medicine at HemingwayHemingway, SC, CCN 423859 Rural health clinic Operational/Managerial Control Oct 1, 2025
Tidelands Health Family MedicineAndrews, SC, CCN 423970 Rural health clinic Operational/Managerial Control Oct 1, 2025
Tidelands Health Family Medicine at Pawleys IslandPawleys Island, SC, CCN 423870 Rural health clinic Operational/Managerial Control Oct 1, 2025
Musc Health Primary Care - Thurgood Marshall BlvdKingstree, SC, CCN 423448 Rural health clinic Operational/Managerial Control (100%) Dec 1, 2022
Musc Community PhysiciansBranchville, SC, CCN 423856 Rural health clinic Operational/Managerial Control (100%) Aug 1, 2021

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1952632234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188204",
            "telephone_number": "803-395-2730",
            "fax_number": "803-395-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188204",
            "telephone_number": "803-395-2730",
            "fax_number": "803-395-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "SOMMERS WILSON",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "843-792-7810"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7Z1258",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "21182",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MUSC Health - HF Mabry Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MUSC Health-Orangeburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HF Mabry Cancer Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.