Active NPI
Judy Estes Maney, RPH
- Pharmacist
- Greenville, SC
National Provider Identifier
1215525761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5541
- Practice address
- 1908 Laurens Rd
Greenville, SC 29607-2999 - Phone
- (864) 297-3175
- Fax
- (864) 288-9218
- NPI assigned
- Jan 8, 2021
- Last updated
- Jan 8, 2021
- Sex
- Female
- 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 | 5541 | SC | Primary |
Addresses
Primary practice location
1908 Laurens Rd
Greenville, SC 29607-2999
Mailing address
1908 Laurens Rd
Greenville, SC 29607-2999
Phone (864) 297-3175
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 |
|---|---|---|---|
| 5541 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fowlers Pharmacy 1 Inc | Current | Accepting new patients |
Locations
1908 Laurens Rd
Greenville, SC 29607
Phone (864) 288-5920
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1215525761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 LAURENS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072999",
"telephone_number": "864-297-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 LAURENS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072999",
"telephone_number": "864-297-3175",
"fax_number": "864-288-9218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANEY",
"first_name": "JUDY",
"middle_name": "ESTES",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-08",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "SC",
"license": "5541",
"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 Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.