SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH NPI 1043365703

NPI Information

NPI: 1043365703
Provider Name: SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH

Other Name: C.M.TUCKER,JR NURSING CARE CENTER PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
2200 HARDEN ST.
COLUMBIA, SC
ZIP 29203
Phone: (803) 737-5339
Get Directions

SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH is a long term care pharmacy pharmacy in Columbia, SC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH NPI is 1043365703. The provider is registered as an organization entity type.
The provider Other Name Is C.m.tucker,jr Nursing Care Center Pharmacy.

The provider's business location address is:

2200 HARDEN ST.
COLUMBIA, SC
ZIP 29203-107
Phone: (803) 737-5339
Fax: (803) 737-5436

The provider's authorized official is Kimberly Butterfly Rudd .
The authorized official title is Director Of Professional Services and has the following contact phone number (803) 737-5301.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 10/18/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies	50001783	SOUTH CAROLINA	No
2	333600000X	Pharmacy		50001783	SOUTH CAROLINA	No
3	313M00000X	Nursing Facility/Intermediate Care Facility		50001783	SOUTH CAROLINA	No
4	315D00000X	Hospice, Inpatient		50001783	SOUTH CAROLINA	No
5	314000000X	Skilled Nursing Facility		50-001783	SOUTH CAROLINA	No
6	3336L0003X	Pharmacy	Long Term Care Pharmacy	50001783	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4212875	OTHER	SOUTH CAROLINA	NCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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