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GREENVILLE HEALTH CORPORATION NPI 1114325800


NPI Information

NPI: 1114325800
Provider Name: GREENVILLE HEALTH CORPORATION

Doing Business As: UPSTATE PHARMACY CENTER FOR FAMILY MEDICINE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
877 W FARIS RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-6330
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GREENVILLE HEALTH CORPORATION is a community/retail pharmacy pharmacy in Greenville, SC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GREENVILLE HEALTH CORPORATION NPI is 1114325800. The provider is registered as an organization entity type.
The provider Is Doing Business As Upstate Pharmacy Center For Family Medicine.

The provider's business location address is:

877 W FARIS RD
GREENVILLE, SC
ZIP 29605-289
Phone: (864) 455-6330
Fax: (864) 455-6329

The provider's authorized official is Polly H. Miller .
The authorized official title is Vp Payor Strategies & Alignment and has the following contact phone number (864) 522-2286.

The enumeration date for this NPI number is 12/11/2014 and was last updated on 4/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy15530SOUTH CAROLINAYes
33336C0004XPharmacyCompounding PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12149227OTHERPK
2715530MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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