Ingles Markets Inc
Organization Active NPI Community/Retail Pharmacy · Duncan, SC
NPI 1013922962 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1013922962
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 50006128 (SC)
- Legal business name
- INGLES MARKETS INC
- Practice address
- 2120 E Main St
Duncan, SC 29334-9456 - Phone
- (864) 433-0422
- Fax
- (864) 433-0569
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen V Cucchi, RPH
- Title
- Vice President of Pharmacy
- Phone
- (828) 669-2941
Other NPIs on the same Medicare enrollment 24
Practitioners 6
-
Lisa Jane Cancel, PHARMD
-
Richard Glenn Fiddie, RPH
-
Robert Steven Garrett, PHARMD.
-
Donald Levasseur, PHARMD
-
Kenneth Oscar Saad, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2184715 | Ingles Markets, Inc (Ingles Pharmacy #093) | Certificate of waiver | May 21, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ingles Markets Pharmacy 93 |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090812000378 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092867614 |
24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Laurens, SC; Liberty, SC; Pickens, SC; Powdersville, SC; Seneca, SC; Spartanburg, SC; Travelers Rest, SC; West Union, SC… |
| O20100930047108 | SC | DME Supplier - Pharmacy |
5092867614 | Practice locations: Duncan, SC |
National Provider Directory
Locations
2150 E Main St
Duncan, SC 29334
Phone (864) 433-0422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 50006128 | SC | Yes |
Addresses
Primary practice location
2120 E Main St
Duncan, SC 29334-9456
Mailing address
PO Box 603941
Charlotte, NC 28260-3941
Phone (828) 669-2941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4223690 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 761285 | Medicaid | SC |
Other names
- INGLES PHARMACY #093
Other providers in Duncan, SC
- Homechoice Partners, LLC
- Homechoice Partners, LLC
- Kandace Marie Hunt
- I Shine, LLC
- Pamela Sue Imbler
- Inmed Diagnostics Services of SC LLC
- Inmed Diagnostics Services of SC LLC
- Sean Michael Jasmon
- Carrie Johnson
- Just Speechy
All providers in Duncan, SC · Community/Retail Pharmacy in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.