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P I STORES INC NPI 1982919874


NPI Information

NPI: 1982919874
Provider Name: P I STORES INC

Doing Business As: PHARMACY INNOVATIONS

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 42D2211111

Address:
640 CONGAREE RD
GREENVILLE, SC
ZIP 29607
Phone: (864) 241-0477
Get Directions

P I STORES INC 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. P I STORES INC NPI is 1982919874. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmacy Innovations.

The provider's business location address is:

640 CONGAREE RD
GREENVILLE, SC
ZIP 29607-518
Phone: (864) 241-0477
Fax: (716) 708-6248

The provider's authorized official is Richard Moon .
The authorized official title is Owner and has the following contact phone number (716) 720-5121.

The CLIA number assigned to this NPI record is 42D2211111 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2010 and was last updated on 7/13/2022.


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 PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
3333600000XPharmacy10460SOUTH 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
12126269OTHERPK
2710460MEDICAIDSOUTH 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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