| NPI | 1164693628 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-03-12 |
| Last Updated | 2025-09-19 |
| Authorized Official | Ann Lewis CEO Phone: 8433395530 |
| Mailing Address | 1268 S 4th St Hartsville, SC 29550-0703 United States Phone: (843) 339-5530 | Fax: (843) 339-5531 📍 View Map |
| Primary Practice Address | 1268 S 4th St Hartsville, SC 29550-0703 United States Phone: (843) 339-5530 | Fax: (843) 339-5531 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 2093486 | PK |
| MEDICAID | SC | 798534 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | SC | 9853 |
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About NPI 1164693628
Caresouth is an organization registered in the CMS NPPES NPI Registry with NPI number 1164693628. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Hartsville, SC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-03-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164693628?
NPI 1164693628 belongs to Caresouth, a Pharmacy, Community/Retail Pharmacy in Hartsville, SC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164693628 active?
The current status of NPI 1164693628 in the NPPES registry is Active. The record was last updated on 2025-09-19.
What specialty is NPI 1164693628?
NPI 1164693628 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164693628?
You can verify NPI 1164693628 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164693628?
The primary practice address on file for NPI 1164693628 is 1268 S 4th St, Hartsville, SC 29550-0703. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164693628 issued?
NPI 1164693628 was first issued (enumerated) on 2008-03-12. The NPPES record was last updated on 2025-09-19.
Practice Location Map
Caresouth is located at 1268 S 4th St, Hartsville, SC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Caresouth. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164693628. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 9853 | SC |