HAWTHORNE WINNSBORO PHARMACY INC.
NPI 1477691962
Pharmacy in Winnsboro, SC

Active since February 05, 2007CLIA 42D2270541 · Waiver
110 S CONGRESS ST, WINNSBORO, SC 29180(803) 635-3565(803) 815-0396 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 19, 2025, Apr 1, 2020, Feb 23, 2017 (3 updates tracked since 2017).

About Hawthorne Winnsboro Pharmacy Inc. NPPES

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

HAWTHORNE WINNSBORO PHARMACY INC. (NPI 1477691962) is a healthcare organization registered as a pharmacy in Winnsboro, South Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Kristie Spires Cassidy, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1477691962
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHAWTHORNE WINNSBORO PHARMACY INC.
Location Address110 S CONGRESS STWinnsboro, SC 29180-1104
Mailing AddressPo Box 85Winnsboro, SC 29180-0085 · (803) 635-3565 · Fax (803) 815-0396
Fax(803) 815-0396
Organization SubpartNo
Authorized OfficialKristie Spires CassidyVice-president · (803) 227-4464
Enumeration DateFebruary 5, 2007
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1477691962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in SC · 16920
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.
110 S CONGRESS ST, Winnsboro, SC 29180

Other Identifiers 1

Other4218245SC · Nabpa

Accepted 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 42D2270541

Hawthorne Winnsboro Pharmacy, LLC · Winnsboro, SC
Active · expires Oct 17, 2026
CLIA Number42D2270541
Laboratory TypePharmacy
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorMs. Kristie S. Cassidy
Laboratory Phone(803) 635-3565
Laboratory LocationHawthorne Winnsboro Pharmacy, LLC110 S Congree Street, Winnsboro, SC 29180
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
64 services64 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.
59 services59 patients

Other Providers at the Same Location NPPES

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

Pharmacist
110 S CONGRESS ST
WINNSBORO, SC 29180

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 Winnsboro Pharmacy Inc.'s NPI number?

The NPI number for Hawthorne Winnsboro Pharmacy Inc. is 1477691962. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Hawthorne Winnsboro Pharmacy Inc. located?

Hawthorne Winnsboro Pharmacy Inc. is located at 110 S Congress St, Winnsboro, SC 29180. The listed phone number is (803) 635-3565.

What is Hawthorne Winnsboro Pharmacy Inc.'s specialty?

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

Does Hawthorne Winnsboro Pharmacy Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2270541) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hawthorne Winnsboro Pharmacy Inc. 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 Winnsboro Pharmacy Inc. 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 Winnsboro Pharmacy Inc. was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.