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HAWTHORNE LUGOFF PHARMACY, LLC
NPI 1114251337
Pharmacy in Lugoff, SC

Active since September 21, 2009CLIA 42D2183895 · Waiver
710 HIGHWAY 1 S, LUGOFF, SC 29078(803) 408-9589(803) 408-9854 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Apr 1, 2020 (2 updates tracked since 2020).

About Hawthorne Lugoff Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAWTHORNE LUGOFF PHARMACY, LLC (NPI 1114251337) is a healthcare organization registered as a pharmacy in Lugoff, South Carolina and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Kristie Cassidy, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1114251337
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHAWTHORNE LUGOFF PHARMACY, LLC
Location Address710 HIGHWAY 1 SLugoff, SC 29078
Mailing AddressPo Box 638Lugoff, SC 29078-0638 · (803) 408-9589 · Fax (803) 408-9854
Phone(803) 408-9589
Fax(803) 408-9854
Organization SubpartNo
Authorized OfficialKristie CassidyVice-president · (803) 227-4464
Enumeration DateSeptember 21, 2009
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1114251337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in SC · PENDING
Definition
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.
710 HIGHWAY 1 S, Lugoff, SC 29078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2183895

Hawthorne Lugoff Pharmacy, LLC · Lugoff, SC
Active · expires May 11, 2028
CLIA Number42D2183895
Laboratory TypePharmacy
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorKristie S. Cassidy
Laboratory Phone(803) 408-9589
Laboratory LocationHawthorne Lugoff Pharmacy, LLC710 Highway 1 South, Lugoff, SC 29078
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
239 services234 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
218 services218 patients
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free 90674
The quadrivalent influenza vaccine is a flu shot that protects against four different flu viruses. Derived from cell cultures, it is free of preservatives and antibiotics. It's a safe and effective way to reduce your risk of getting the flu.
13 services13 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hawthorne Lugoff Pharmacy, LLC's NPI number?

The NPI number for Hawthorne Lugoff Pharmacy, LLC is 1114251337. It was assigned to this organization in the NPPES registry on September 21, 2009.

Where is Hawthorne Lugoff Pharmacy, LLC located?

Hawthorne Lugoff Pharmacy, LLC is located at 710 Highway 1 S, Lugoff, SC 29078. The listed phone number is (803) 408-9589.

What is Hawthorne Lugoff Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Hawthorne Lugoff Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2183895) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hawthorne Lugoff Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Hawthorne Lugoff Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hawthorne Lugoff Pharmacy, LLC was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.