HAWTHORNE LUGOFF PHARMACY LLC NPI 1114251337

NPI Information

  • NPI: 1114251337
  • Provider Name: HAWTHORNE LUGOFF PHARMACY, LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • CLIA Number: 42D2183895
  • Address: 710 HIGHWAY 1 S
    LUGOFF, SC
    ZIP 29078
  • Phone: (803) 408-9589

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NPI Details

HAWTHORNE LUGOFF PHARMACY, LLC is a pharmacy in Lugoff, SC. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. HAWTHORNE LUGOFF PHARMACY, LLC NPI is 1114251337. The provider is registered as an organization entity type.

The provider's business location address is:

710 HIGHWAY 1 S
LUGOFF, SC
ZIP 29078
Phone: (803) 408-9589
Fax: (803) 408-9854

The provider's authorized official is Kristie Cassidy .
The authorized official title is Vice-president and has the following contact phone number (803) 227-4464.

The CLIA number assigned to this NPI record is 42D2183895 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)

The enumeration date for this NPI number is 9/21/2009 and was last updated on 11/13/2025.

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
1333600000XPharmacyPENDINGSOUTH CAROLINAYes

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: 11/21/2025

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