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GREENVILLE HEALTH CORPORATION NPI 1265417927


NPI Information

NPI: 1265417927
Provider Name: GREENVILLE HEALTH CORPORATION

Doing Business As: UPSTATE PHARMACY - EASTSIDE

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
200 PATEWOOD DR
SUITE B-150
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-2369
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GREENVILLE HEALTH CORPORATION is a pharmacy in Greenville, SC. The provider is 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. GREENVILLE HEALTH CORPORATION NPI is 1265417927. The provider is registered as an organization entity type.
The provider Is Doing Business As Upstate Pharmacy - Eastside.

The provider's business location address is:

200 PATEWOOD DR
SUITE B-150
GREENVILLE, SC
ZIP 29615-593
Phone: (864) 454-2369

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

The enumeration date for this NPI number is 12/14/2005 and was last updated on 3/7/2023.


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
1333600000XPharmacyYes

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
1747056MEDICAIDSOUTH CAROLINA
24222434OTHERSOUTH CAROLINANABP NUMBER
3DE1462MEDICAIDSOUTH CAROLINA
4018OTHERSOUTH CAROLINABCBS SUFFIX

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.