Organization Active NPI

Advanced Pharmacy LLC

Doing business as Advanced Pharmacy

  • Community/Retail Pharmacy
  • Greenville, SC
National Provider Identifier
1174830475
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
14847 Issued in SC
Legal business name
ADVANCED PHARMACY LLC
Doing business as
Advanced Pharmacy
Practice address
350 Feaster Rd Ste D
Greenville, SC 29615-6176
Phone
(770) 339-1190
Fax
(888) 610-3138
NPI assigned
Sep 8, 2010
Last updated
Apr 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Gregory Santulli
Title
President
Phone
(770) 339-1190

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 14847 SC Primary

Addresses

Primary practice location

350 Feaster Rd Ste D
Greenville, SC 29615-6176

Mailing address

1576 Atkinson Rd
Lawrenceville, GA 30043-5701
Phone (770) 339-1190

Other identifiers 1

IdentifierTypeStateIssuer
2127115OtherPK

Other names 1

  • Advanced Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

350 Feaster Rd
Ste D
Greenville, SC 29615
Phone (770) 339-1190

Practitioners & affiliated clinicians

Practitioners 1

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": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1174830475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 ATKINSON RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435701",
            "telephone_number": "770-339-1190",
            "fax_number": "888-901-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FEASTER RD STE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156176",
            "telephone_number": "770-339-1190",
            "fax_number": "888-610-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "SANTULLI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-339-1190"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "14847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.