Organization Active NPI

Hub City Pharmacy LLC

  • Community/Retail Pharmacy
  • Spartanburg, SC
National Provider Identifier
1063915643
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HUB CITY PHARMACY LLC
Practice address
1735 John B White Sr Blvd
Spartanburg, SC 29301-5482
Phone
(816) 699-1889
NPI assigned
Mar 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Mr. Satish YelamanchiliNPI 1669771770
Title
Owner
Phone
(864) 586-3886

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 Primary

Addresses

Primary practice location

1735 John B White Sr Blvd
Spartanburg, SC 29301-5482

Mailing address

1735 John B White Sr Blvd Ste 8
Spartanburg, SC 29301-5462
Phone (864) 586-3886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200804003506 SC Part B Supplier - Pharmacy 5890110043 Practice locations: Spartanburg, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2251425Hub City Pharmacy1735 John B White Sr Blvd, Suite 8, Spartanburg, SC 29301Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

Locations

1735 John B White SR Blvd
Ste 8
Spartanburg, SC 29301
Phone (864) 586-3886

1735 John B White SR Blvd
Spartanburg, SC 29301
Phone (816) 699-1889

Practitioners & affiliated clinicians

Practitioners 3

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": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1063915643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 JOHN B WHITE SR BLVD STE 8",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015462",
            "telephone_number": "864-586-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 JOHN B WHITE SR BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015482",
            "telephone_number": "816-699-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUB CITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "YELAMANCHILI",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-586-3886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.