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DEDICATED SENIOR MEDICAL CENTER FAIRWOLD
NPI 1326779885
Non-Pharmacy Dispensing Site in Columbia, SC

Active since June 23, 2022
5900 N MAIN ST, COLUMBIA, SC 29203(803) 888-5425(803) 830-7157 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2023, Nov 8, 2022 (2 updates tracked since 2022).

About Dedicated Senior Medical Center Fairwold NPPES

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

DEDICATED SENIOR MEDICAL CENTER FAIRWOLD (NPI 1326779885) is a healthcare organization registered as a non-pharmacy dispensing site in Columbia, South Carolina and active in the NPI registry since June 2022. The organization lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1326779885
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED SOUTH CAROLINA HOLDING, LLC
Location Address5900 N MAIN STColumbia, SC 29203-6227
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Phone(803) 888-5425
Fax(803) 830-7157
Organization SubpartYes
Authorized OfficialMary ChenAuthorized Official · (786) 618-7245
Enumeration DateJune 23, 2022
Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1326779885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
5900 N MAIN ST, Columbia, SC 29203
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Other Names 1

Doing Business AsDedicated Senior Medical Center Fairwold

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSPRIA S WADE PA
Physician Assistant
5900 N MAIN ST
COLUMBIA, SC 29203
Richland County (803) 610-4199
DR. STACEY MONIQUE TURNER PHARMD
Pharmacist
5900 N MAIN ST
COLUMBIA, SC 29203
Richland County (803) 691-1690
WALGREEN CO
Pharmacy
5900 N MAIN ST
COLUMBIA, SC 29203
Richland County (803) 691-1690
MS. DAMARIS NICOLE MCCLAIN
Nurse Practitioner (Family)
5900 N MAIN ST
COLUMBIA, SC 29203
Richland County (803) 888-5425
SHANTE GLEATON APRN
Nurse Practitioner (Family)
5900 N MAIN ST
COLUMBIA, SC 29203
Richland County (803) 610-4199
TAKASHA HALMON PHARM.D
Pharmacist
5900 N MAIN ST
COLUMBIA, SC 29203
Richland County (803) 691-1690
CENTERWELL SENIOR PRIMARY CARE (SC) JV PC
Internal Medicine
5900 N MAIN ST
COLUMBIA, SC 29203
Richland County (803) 610-4199
DR. ARTHUR KOBINA KENNEDY MD
Family Medicine
5900 N MAIN ST
COLUMBIA, SC 29203
Richland County (803) 610-4199

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 Dedicated South Carolina Holding, LLC's NPI number?

The NPI number for Dedicated South Carolina Holding, LLC is 1326779885. It was assigned to this organization in the NPPES registry on June 23, 2022. The provider is doing business as Dedicated Senior Medical Center Fairwold.

Where is Dedicated South Carolina Holding, LLC located?

Dedicated South Carolina Holding, LLC is located at 5900 N Main St, Columbia, SC 29203. The listed phone number is (803) 888-5425.

What is Dedicated South Carolina Holding, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Dedicated South Carolina Holding, LLC was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.