COLONIAL FAMILY PRACTICE, LLC (NPI# 1285912170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285912170 |
| Entity Type | Organization |
| Organization Name | COLONIAL FAMILY PRACTICE, LLC |
| Other Organization Name | COLONIAL RX |
| Practice Address |
325 Broad St Suite 100 Sumter SC 29150-4167 |
| Practice Telephone | 8037735227 |
| Practice Fax Number | 8037745400 |
| Mailing Telephone | 8037735227 |
| Mailing Fax Number | 8037745400 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |
| Authorized Official Name | TRICIA PACKER (CREDENTIALING REIMBURSEMENT) |
| Authorized Official Telephone | 8037735227 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
SC | Suppliers |
| Other Name | Type Code |
|---|---|
| Colonial RX | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541814 | Colonial Family Practice, LLC | Emergency Medicine | 327 Broad St, Sumter, SC 29150-4152 | 2019-11-04 |
| 1225687338 | Colonial Family Practice, LLC | Internal Medicine | 674 W Liberty St, Sumter, SC 29150-4882 | 2019-09-11 |
| 1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
| 1821383068 | Colonial Family Practice, LLC | Clinic/Center | 3044 Highway 17 Byp N Ste B, Mt Pleasant, SC 29466-9315 | 2011-06-16 |
| 1033402599 | Colonial Family Practice, LLC | Physician Assistant | 1124 Little St, Camden, SC 29020-3613 | 2011-05-17 |
| 1144534694 | Colonial Family Practice, LLC | Family Medicine | 3930 Devine St Ste B, Columbia, SC 29205-2804 | 2010-07-27 |
| 1851547640 | Colonial Family Practice, LLC | Counselor | 742 W Liberty St, Sumter, SC 29150-4746 | 2008-08-12 |
| 1518074640 | Colonial Family Practice, LLC | Counselor | 325 Broad St. Ste 100, Sumter, SC 29150-4167 | 2006-08-24 |
| 1598313827 | Colonial Family Practice, LLC | Nurse Practitioner | 26 Wesmark Ct, Sumter, SC 29150-1996 | 2019-08-29 |
| 1689194342 | Colonial Family Practice, LLC | Family Medicine | 1727 Village Park Dr, Orangeburg, SC 29118-2475 | 2017-06-23 |
| Street Address |
325 BROAD ST SUITE 100 |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245221712 | Sylvia Lucia Parra | Dermatology | 325 Broad St, Suite 200, Sumter, SC 29150-4167 | 2005-11-02 |
| 1821565334 | Grace Wielicki Couch | Nurse Practitioner | 325 Broad St, Sumter, SC 29150-4167 | 2018-11-01 |
| 1467856930 | Carrie Elliott Hoshour | Nurse Practitioner | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2014-10-13 |
| 1528494051 | Abigail Sloan Ham | Physician Assistant | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2013-09-16 |
| 1952643124 | Lillian Stukes-douglas | Nurse Practitioner | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2013-03-26 |
| 1134471436 | Miranda Elizabeth Booth-poplin | Pharmacist | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2012-10-10 |
| 1730486838 | Hanna S Rivers | Nurse Practitioner | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2011-02-25 |
| 1740444223 | Meaghan Hall Gosma | Nurse Practitioner | 325 Broad St, 100, Sumter, SC 29150-4167 | 2008-07-15 |
| 1073788022 | Adam Scott Bailey | Physician Assistant | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2008-04-29 |
| 1477746998 | Thomas Lawman Lucas IIi | Family Medicine | 325 Broad St, Suite 100, Sumter, SC 29150-4167 | 2007-08-20 |
| Find all providers in the same location | ||||
| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003371386 | Tandem Health Sc | Pharmacy | 368 S Pike W, Sumter, SC 29150-2664 | 2019-01-31 |
| 1215180591 | Sandhills Medical Foundation Inc | Pharmacy | 425 N Salem Ave, Sumter, SC 29150-4115 | 2008-10-30 |
| 1114114501 | Tandem Health Sc | Pharmacy | 1278 N Lafayette Dr, Sumter, SC 29150-2964 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962805291 | Palmetto Carolina Treatment Center, LLC | Pharmacy | 325 Inglesby Pkwy Unit F, Duncan, SC 29334-9117 | 2014-10-01 |
| 1215338058 | Trust Concierge Pharmaceuticals LLC | Pharmacy | 4999 Carolina Forest Blvd Ste 13, Myrtle Beach, SC 29579-3587 | 2014-09-11 |
| 1689950636 | Crossroads Treatment Center of Columbia | Pharmacy | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2011-10-21 |
| 1447584115 | Kerr Health, LLC | Pharmacy | 5060 International Blvd Ste 102, Charleston, SC 29418-6008 | 2009-09-28 |
| 1184844458 | Greenwood Family Practice Inc | Pharmacy | 1226 Spring St, Greenwood, SC 29646-3835 | 2007-04-27 |
| 1619032034 | Recovery Concepts of Carolina Upst LLC | Pharmacy | 1653 E Main St, Easley, SC 29640-3791 | 2006-12-26 |
| 1568544591 | Community Medical Center | Pharmacy | 10278 Old #6 Highway, Vance, SC 29163 | 2006-10-19 |
| 1295840148 | Medical University of Sc | Pharmacy | 650 Ellis Oak Dr Rm 119, Charleston, SC 29412-3089 | 2006-08-20 |
| 1760596746 | Recovery Concepts LLC | Pharmacy | 124 Boardwalk Dr Ste A, Ridgeland, SC 29936-7994 | 2006-08-18 |
| 1467466300 | B-j-h Comp. Health Services | Pharmacy | 552 Stiney Rd, Hardeeville, SC 29927 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
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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.