Active NPI
Ingles Markets Inc
- Community/Retail Pharmacy
- Spartanburg, SC
National Provider Identifier
1205910338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50008788
- Legal business name
- INGLES MARKETS INC
- Practice address
- 8004 Warren H Abernathy Hwy
Spartanburg, SC 29301-2448 - Phone
- (864) 574-3130
- Fax
- (864) 574-5870
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Other NPIs on the same Medicare enrollment 24
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Spartanburg, SC
- NPI 1033462031
-
- Pharmacist
- Spartanburg, SC
- NPI 1821421785
-
- Pharmacist
- Spartanburg, SC
- NPI 1306145206
-
- Pharmacist
- Spartanburg, SC
- NPI 1285065128
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2184703 | Ingles Markets, Inc (Ingles Pharmacy #204) | Certificate of waiver | May 21, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ingles Markets Inc | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090812000378 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092867614 |
24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Laurens, SC; Liberty, SC; Pickens, SC; Powdersville, SC; Seneca, SC; Spartanburg, SC; Travelers Rest, SC; West Union, SC… |
| O20100930030895 | SC | DME Supplier - Pharmacy | 5092867614 | Practice locations: Spartanburg, SC |
National Provider Directory
National Provider DirectoryLocations
8004 Warren H Abernathy Hwy
Spartanburg, SC 29301
Phone (864) 574-3130
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen V Cucchi, RPH
- Title
- VP of Pharmacy
- Phone
- (828) 669-2941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 50008788 | SC | Primary |
Addresses
Primary practice location
8004 Warren H Abernathy Hwy
Spartanburg, SC 29301-2448
Mailing address
PO Box 603941
Charlotte, NC 28260-3941
Phone (828) 669-2941
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4226456 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 787883 | Medicaid | SC |
Other names 1
- INGLES PHARMACY #204
NPI Registry JSON
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565827200000",
"number": "1205910338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603941",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603941",
"telephone_number": "828-669-2941",
"fax_number": "828-669-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 WARREN H ABERNATHY HWY",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293012448",
"telephone_number": "864-574-3130",
"fax_number": "864-574-5870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INGLES MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2019-08-15",
"status": "A",
"authorized_official_last_name": "CUCCHI",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "VP OF PHARMACY",
"authorized_official_telephone_number": "828-669-2941",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "50008788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4226456",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "787883",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "INGLES PHARMACY #204",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "INGLES PHARMACY #204",
"code": "3",
"type": "Doing Business As"
}
]
}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 Aug 15, 2019; 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.