Active NPI
Rileys Drugs Inc
- Community/Retail Pharmacy
- Lexington, SC
National Provider Identifier
1003876244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1708
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roberta Vining, BS PHARM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089723 | Other | PK | |
| 717083 | Medicaid | SC |
Other names 1
- RILEYS DRUGS INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Drugs
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Lexington, SC
- NPI 1629890751
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.
-
- Pharmacist
- Lexington, SC
- NPI 1174873384
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.