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UPSTATE PHARMACY IMA NPI 1730432964


NPI Information

NPI: 1730432964
Provider Name: UPSTATE PHARMACY IMA

Doing Business As: UPSTATE PHARMACY IMA

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1025 VERDAE BLVD STE A
GREENVILLE, SC
ZIP 29607
Phone: (864) 286-7545
Get Directions

UPSTATE PHARMACY IMA 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. UPSTATE PHARMACY IMA NPI is 1730432964. The provider is registered as an organization entity type.
The provider Is Doing Business As Upstate Pharmacy Ima.

The provider's business location address is:

1025 VERDAE BLVD STE A
GREENVILLE, SC
ZIP 29607-032
Phone: (864) 286-7545
Fax: (864) 455-1350

The provider's authorized official is Steven Ranck .
The authorized official title is Manager, Pharmacy and has the following contact phone number (864) 455-1325.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 10/25/2012.


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
13336C0003XPharmacyCommunity/Retail Pharmacy14249SOUTH CAROLINAYes

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
14231015OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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