South Carolina Department Of Mental Health
Long Term Care Pharmacy
2200 Harden St., Columbia
South Carolina, 29203-7107
803-737-5339 803-737-5436
South Carolina Department Of Mental Health is not a DME supplier for medicare equipments and products.
South Carolina Department Of Mental Health is a Long Term Care Pharmacy in Columbia, South Carolina. This organization is also known as sub part of South Carolina Department Of Mental Health. It is located at 2200 Harden St., Columbia and it's customer support contact number is 803-737-5339. The authorized person of South Carolina Department Of Mental Health is Kimberly Butterfly Rudd, M.D. who is Director Of Professional Services of the pharmacy and his contact number is 803-737-5301. Active license number of South Carolina Department Of Mental Health is 50001783 for Long Term Care Pharmacy in South Carolina.
South Carolina Department Of Mental Health is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
South Carolina Department Of Mental Health type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | South Carolina Department Of Mental Health |
| Type: | Long Term Care Pharmacy |
| Location: | 2200 Harden St., Columbia, South Carolina, 29203-7107 |
| Phone: | 803-737-5339 |
| Fax: | 803-737-5436 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kimberly Butterfly Rudd |
| Credentials: | M.D. |
| Position: | Director Of Professional Services |
| Contact Number: | 803-737-5301 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1043365703 |
| Parent Organization: | South Carolina Department Of Mental Health |
| NPI Enumeration Date: | 24 Jan, 2007 |
| NPI Last Update On: | 18 Oct, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Carolina Department Of Mental Health are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 50001783 | South Carolina | Primary | |
| Skilled Nursing Facility | 50-001783 | South Carolina | Secondary | |
| Nursing Facility Supplies | 50001783 | South Carolina | Secondary | |
| Pharmacy | 50001783 | South Carolina | Secondary | |
| Nursing Facility/intermediate Care Facility | 50001783 | South Carolina | Secondary | |
| Hospice, Inpatient | 50001783 | South Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4212875 | Other | South Carolina | Ncpdp |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2200 Harden St., Columbia, South Carolina |
| Zip: | 29203-7107 |
| Phone Number: | 803-737-5339 |
| Fax Number: | 803-737-5436 |
Patients can reach South Carolina Department Of Mental Health at
2200 Harden St., Columbia, South Carolina or can
call on customer care at 803-737-5339.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.