Organization Active NPI

Govinda LLC

  • Community/Retail Pharmacy
  • Boiling Springs, SC
National Provider Identifier
1104458173
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GOVINDA LLC
Practice address
2528 Boiling Springs Rd Ste D
Boiling Springs, SC 29316-5361
Phone
(864) 515-2600
Fax
(864) 256-3499
NPI assigned
Feb 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Mr. Kuntal Patel, RPHNPI 1467826875
Title
Partner
Phone
(864) 237-5501

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

2528 Boiling Springs Rd Ste D
Boiling Springs, SC 29316-5361

Mailing address

2528 Boiling Springs Rd Ste D
Boiling Springs, SC 29316-5361
Phone (864) 515-2600

Other identifiers 1

IdentifierTypeStateIssuer
7Z1071MedicaidSC

Other names 1

  • Boiling Springs Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200722003458 SC Part B Supplier - Mass Immunization (Roster Biller Only) 8022432053 Practice locations: Boiling Springs, 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
42D2211075Govinda LLC Dba Boiling Springs Pharmacy2528 Boiling Springs Rd, Suite D, Boiling Springs, SC 29316Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

Locations

2528 Boiling Springs Rd
Ste D
Boiling Springs, SC 29316
Phone (864) 515-2600

2528 Boiling Springs Rd
Boiling Springs, SC 29316

Practitioners & affiliated clinicians

Practitioners 4

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": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1104458173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 BOILING SPRINGS RD STE D",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165361",
            "telephone_number": "864-515-2600",
            "fax_number": "864-256-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 BOILING SPRINGS RD STE D",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165361",
            "telephone_number": "864-515-2600",
            "fax_number": "864-256-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVINDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KUNTAL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "864-237-5501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7Z1071",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boiling Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boiling Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boiling Springs, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.