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DEDICATED SOUTH CAROLINA HOLDING, LLC
NPI 1326788134
Non-Pharmacy Dispensing Site in Columbia, SC

Active since March 30, 2022
2571 FOREST DR, COLUMBIA, SC 29204(803) 610-4199(803) 830-7157 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dedicated South Carolina Holding, Llc NPPES

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

DEDICATED SOUTH CAROLINA HOLDING, LLC (NPI 1326788134), doing business as Dedicated Senior Medical Center Forest, is a healthcare organization registered as a non-pharmacy dispensing site in Columbia, South Carolina and active in the NPI registry since March 2022. The organization lists Mary Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1326788134
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDEDICATED SOUTH CAROLINA HOLDING, LLC
Location Address2571 FOREST DRColumbia, SC 29204-2029
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117
Phone(803) 610-4199
Fax(803) 830-7157
Organization SubpartYes
Authorized OfficialMary ChenAuthorized Official · (305) 628-6117
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1326788134 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.)
2571 FOREST DR, Columbia, SC 29204
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Other Names 1

Doing Business AsDedicated Senior Medical Center Forest

Other Providers at the Same Location NPPES 5

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

AMY BAGWELL
Pharmacist
2571 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 254-2376
DR. MICHAEL HARRELL MILLER PHARM.D.
Pharmacist
2571 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 254-2376
DR. MARK HENRIKSEN PHARMD
Pharmacist
2571 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 254-2376
ANDREA JUDY
Pharmacist
2571 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 254-2376
CENTERWELL SENIOR PRIMARY CARE (SC) JV PC
Internal Medicine
2571 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 888-5425

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 1326788134. It was assigned to this organization in the NPPES registry on March 30, 2022. The provider is doing business as Dedicated Senior Medical Center Forest.

Where is Dedicated South Carolina Holding, LLC located?

Dedicated South Carolina Holding, LLC is located at 2571 Forest Dr, Columbia, SC 29204. The listed phone number is (803) 610-4199.

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 March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.