Active NPI
Vamshi K Peyyavula, RPH
- Pharmacist
- Greenville, SC
National Provider Identifier
1184973299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011745
- Practice address
- 718 Mills Ave
Greenville, SC 29605 - Phone
- (864) 421-1586
- NPI assigned
- Sep 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011745 | SC | Primary |
Addresses
Primary practice location
718 Mills Ave
Greenville, SC 29605
Mailing address
1421 Roper Mountain Rd Apt 284
Greenville, SC 29615
Phone (864) 421-1586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011745 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Indian Land, SC
- NPI 1174406573
-
- Pharmacy
- Greenville, SC
- NPI 1538263330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1184973299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 ROPER MOUNTAIN RD APT 284",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-421-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29605",
"telephone_number": "864-421-1586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEYYAVULA",
"first_name": "VAMSHI",
"middle_name": "K",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "011745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.