NPIMap

Organization Active NPI

State of South Carolina

  • Pharmacy
  • Columbia, SC
National Provider Identifier
1972737229
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50008287 Issued in SC
Legal business name
STATE OF SOUTH CAROLINA
Practice address
1751 Calhoun St
Columbia, SC 29201-2606
Phone
(803) 898-0813
Fax
(803) 898-0557
NPI assigned
May 14, 2009
Last updated
May 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Mrs. Betty H Garren
Title
Director, Third Party Administratio
Phone
(803) 898-3720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50008287 SC Primary

Addresses

Primary practice location

1751 Calhoun St
Columbia, SC 29201-2606

Mailing address

1751 Calhoun St
PO Box 101106
Columbia, SC 29201-2606
Phone (803) 898-0813

Other names 1

  • DHEC Hemophilia-CSHCN Program Other name

National Provider Directory

National Provider Directory
Tax ID family
South Carolina Department of Juvenile Justice280 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1972737229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 CALHOUN ST",
            "address_2": "PO BOX 101106",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012606",
            "telephone_number": "803-898-0813",
            "fax_number": "803-898-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 CALHOUN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012606",
            "telephone_number": "803-898-0813",
            "fax_number": "803-898-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "GARREN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR, THIRD PARTY ADMINISTRATIO",
        "authorized_official_telephone_number": "803-898-3720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "50008287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHEC Hemophilia-CSHCN Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 9, 2012; 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.