NPIMap

Organization Active NPI

RPVR Corporation

Doing business as Fleetwood Pharmacy

  • Community/Retail Pharmacy
  • Easley, SC
National Provider Identifier
1053788638
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16145 Issued in SC
Legal business name
RPVR CORPORATION
Doing business as
Fleetwood Pharmacy
Practice address
121 Fleetwood Dr
Easley, SC 29640-2019
Phone
(864) 442-5192
Fax
(864) 442-5193
NPI assigned
Aug 30, 2015
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Bhavesh PatelNPI 1447558358
Title
Pic
Phone
(864) 442-5192

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 16145 SC Primary

Addresses

Primary practice location

121 Fleetwood Dr
Easley, SC 29640-2019

Mailing address

5 Kempsey Way
Greenville, SC 29607-6431
Phone (919) 452-3165

Other identifiers 1

IdentifierTypeStateIssuer
2153893OtherPK

Other names 1

  • Fleetwood Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160526000879 SC Part B Supplier - Mass Immunization (Roster Biller Only) 0446540884 1 other NPI on this enrollment
Practice locations: Easley, SC; Laurens, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
RPVR Corporation2 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

121 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-5192

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1053788638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KEMPSEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076431",
            "telephone_number": "919-452-3165",
            "fax_number": "864-442-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FLEETWOOD DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402019",
            "telephone_number": "864-442-5192",
            "fax_number": "864-442-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RPVR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-30",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAVESH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "864-442-5192"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "16145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153893",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fleetwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.