TANDEM HEALTH SC (NPI# 1114114501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114114501 |
| Entity Type | Organization |
| Organization Name | TANDEM HEALTH SC |
| Other Organization Name | SUMTER FAMILY HEALTH CENTER PHARMACY |
| Practice Address |
1278 N Lafayette Dr Sumter SC 29150-2964 |
| Mailing Address |
Po Box 250 Sumter SC 29151-0250 |
| Practice Telephone | 8037744579 |
| Practice Fax Number | 8037744643 |
| Mailing Telephone | 8037744579 |
| Mailing Fax Number | 8037744643 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | ANNIE BROWN (CEO) |
| Authorized Official Telephone | 8037744500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 9614 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2093407 | 01 |
| Other Name | Type Code |
|---|---|
| Sumter Family Health Center | Former Legal Business Name - Organization |
| SUMTER FAMILY HEALTH CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003371386 | Tandem Health Sc | Pharmacy | 368 S Pike W, Sumter, SC 29150-2664 | 2019-01-31 |
| 1811973068 | Tandem Health Sc | Clinic/Center | 25 E Clark St, Pinewood, SC 29125-8989 | 2005-12-20 |
| 1154855773 | Tandem Health Sc | Clinic/Center | 1105 N Lafayette Dr, Sumter, SC 29150-2984 | 2017-04-20 |
| 1740641919 | Tandem Health Sc | Clinic/Center | 370 S Pike W, Sumter, SC 29150 | 2016-03-15 |
| 1356772776 | Tandem Health Sc | Clinic/Center | 319 N Main St, Sumter, SC 29150-4258 | 2013-12-11 |
| 1386630192 | Tandem Health Sc | Clinic/Center | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2005-09-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TANDEM HEALTH SC | 1278 North Lafayette Dr, Sumter, SC 29150-2964 |
| Street Address |
1278 N LAFAYETTE DR |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275525388 | Richard A Wall Jr. | Family Medicine | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2005-08-16 |
| 1689299091 | Logan C Smith | Registered Nurse | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2020-06-11 |
| 1619523578 | Mary Francis Newman | Pharmacist | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2019-08-15 |
| 1467936336 | Zachary Tyler Buckner | Registered Nurse | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2018-09-18 |
| 1861870065 | Ebony Joyner | Physician Assistant | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2015-05-08 |
| 1659758852 | Mary Byrd | Registered Nurse | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2015-04-27 |
| 1184024655 | Karen Duncan Page | Social Worker | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2014-09-03 |
| 1912326885 | Eric Wooten | Nurse Practitioner | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2014-04-08 |
| 1568889715 | Jennifer Schmucker | Social Worker | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2014-03-26 |
| 1780026732 | Matthew Jay Wilkie | Social Worker | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2013-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073146502 | Greenville Health Corporation | Pharmacy | 115 N Sumter St Ste 220, Sumter, SC 29150-4972 | 2020-02-12 |
| 1306284575 | Phillips Pharmacy, Inc. | Pharmacy | 1087c Alice Dr, Sumter, SC 29150-2462 | 2013-06-11 |
| 1972690857 | Sup Rx Pharmacy | Pharmacy | 1455 S Guignard Dr, Sumter, SC 29150-7479 | 2006-10-10 |
| 1104924141 | Piggly Wiggly of Westmart Inc | Pharmacy | 1011 Broad St, Sumter, SC 29150-2504 | 2006-09-21 |
| 1861418360 | Piggly Wiggly Calhoun Inc | Pharmacy | 114 E Calhoun St, Sumter, SC 29150-4318 | 2006-07-15 |
| 1902033814 | Alderman Drug Company Inc | Pharmacy | 40 N Main St, Sumter, SC 29150-4946 | 2009-06-18 |
| 1033258330 | Alderman Drug Co Inc | Pharmacy | 40 N Main St, Sumter, SC 29150 | 2007-02-05 |
| 1932273463 | Prescriptions Inc | Pharmacy | 240 Church St, Sumter, SC 29150-4256 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144840026 | Salubrius Pharmacy, LLC | Pharmacy | 120 Clair Dr, Powdersville, SC 29673-7771 | 2020-04-21 |
| 1043858996 | M Holdings LLC | Pharmacy | 808 Highway 378 Ste A, Lexington, SC 29072-8379 | 2019-12-11 |
| 1033760483 | Eau Claire Cooperative Health Center, Inc. | Pharmacy | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2019-09-26 |
| 1467002816 | Black River Pharmacy LLC | Pharmacy | 32a N Williamsburg County Hwy, Kingstree, SC 29556-2433 | 2019-09-18 |
| 1548821457 | Dipti H Patel | Pharmacy | 636 Chartwell Dr, Greer, SC 29650-4787 | 2019-06-23 |
| 1972163350 | Genesis Health Care, Inc | Pharmacy | 211 S Jones Rd Ste A, Olanta, SC 29114-9705 | 2019-06-18 |
| 1013571314 | Publix Super Markets, Inc. | Pharmacy | 730 Hopewell Drive, Charleston-berkeley, SC 29492-7102 | 2019-04-23 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
| 1619485992 | Redec Pharmacy | Pharmacy | 200 N Dobys Bridge Rd Ste 124, Fort Mill, SC 29715-2084 | 2018-01-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.