Organization Active NPI

Rileys Drugs Inc

  • Community/Retail Pharmacy
  • Lexington, SC
National Provider Identifier
1003876244
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1708 Issued in SC
Legal business name
RILEYS DRUGS INC
Practice address
1207 W Main St
Lexington, SC 29072-2405
Phone
(803) 359-2587
Fax
(803) 359-2588
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roberta Vining, BS PHARMNPI 1174873384
Title
Pic
Phone
(803) 359-2587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1708 SC Primary

Addresses

Primary practice location

1207 W Main St
Lexington, SC 29072-2405

Mailing address

1207 W Main St
Lexington, SC 29072-2405
Phone (803) 359-2587

Other identifiers 2

IdentifierTypeStateIssuer
2089723OtherPK
717083MedicaidSC

Other names 1

  • RILEYS DRUGS INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061204000339 SC Part B Supplier - Mass Immunization (Roster Biller Only) 6800895749 Practice locations: Lexington, SC
O20100930098220 SC DME Supplier - Pharmacy 6800895749 Practice locations: Lexington, SC

National Provider Directory

National Provider Directory
Tax ID family
Rileys Drugs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

304 Columbia Ave
Lexington, SC 29072
Phone (803) 359-2587

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1003876244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722405",
            "telephone_number": "803-359-2587",
            "fax_number": "803-359-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 W MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722405",
            "telephone_number": "803-359-2587",
            "fax_number": "803-359-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEYS DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "VINING",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "803-359-2587",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "1708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089723",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717083",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RILEYS DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.