NPIMap

Organization Active NPI

St Francis Hospital Inc

Doing business as St. Francis Cancer Center Pharmacy

  • Community/Retail Pharmacy
  • Greenville, SC
National Provider Identifier
1073917043
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15430 Issued in SC
Legal business name
ST FRANCIS HOSPITAL INC
Doing business as
St. Francis Cancer Center Pharmacy
Practice address
104 Innovation Dr Ste 1050
Greenville, SC 29607-5253
Phone
(864) 603-6392
Fax
(864) 603-6145
NPI assigned
Oct 20, 2014
Last updated
Oct 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Kimberly Ralston
Title
System Director
Phone
(419) 996-5119

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 15430 SC Primary

Addresses

Primary practice location

104 Innovation Dr Ste 1050
Greenville, SC 29607-5253

Mailing address

PO Box 631098
Cincinnati, OH 45263-1098
Phone (513) 895-2650

Other identifiers 1

IdentifierTypeStateIssuer
2148379OtherPK

Other names 1

  • St. Francis Cancer Center Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150114000952 SC Part B Supplier - Pharmacy 3779487186 Practice locations: Greenville, SC
O20230626003401 SC Part B Supplier - Mass Immunization (Roster Biller Only) 3779487186 Practice locations: Greenville, SC

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Upstate OBGYN Associates PA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bon Secours Home HealthRichmond, VA, CCN 497026C Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) May 1, 2024
Mercy Health - Home Care PaducahPaducah, KY, CCN 187100 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Mercy Health Home Health LimaLima, OH, CCN 367417 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Mercy Health Home Care by CompassusTiffin, OH, CCN 367523 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Mercy Health Home Care Lorain CountyLorain, OH, CCN 367218 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Bon Secours Home Care by CompassusSt Petersburg, FL, CCN 108384 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Jul 1, 2024
Bon Secours Home Care by CompassusSun City Center, FL, CCN 109645 Home health agency 5% Or Greater Indirect Ownership Interest (12.61%) Jul 1, 2024
Bon Secours Hospice and Palliative CareRichmond, VA, CCN 491514 Hospice 5% Or Greater Indirect Ownership Interest (12.61%) May 1, 2024
Mercy Health - Hospice, LimaLima, OH, CCN 361543 Hospice 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Mercy Health Hospice by CompassusMetropolis, IL, CCN 141548 Hospice 5% Or Greater Indirect Ownership Interest (12.61%) Apr 23, 2024
Mercy Health Home Care by CompassusLorain, OH, CCN 361563 Hospice 5% Or Greater Indirect Ownership Interest (13.53%) Apr 23, 2024
Mercy Health- Hospice PaducahPaducah, KY, CCN 181507 Hospice 5% Or Greater Indirect Ownership Interest (13.53%) Apr 23, 2024

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1073917043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631098",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631098",
            "telephone_number": "513-895-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 INNOVATION DR STE 1050",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075253",
            "telephone_number": "864-603-6392",
            "fax_number": "864-603-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "15430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Francis Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Francis Cancer Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.