Pelham Road Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2040 Issued in SC

Legal business name

PELHAM ROAD PHARMACY INC

Doing business as

Pelham Road Pharmacy Inc

Practice address

800B Pelham Rd
Greenville, SC 29615-3300

Phone

(864) 234-5890

Fax

(864) 234-5891

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Samir Patel, RPH

Title

Pharmacist in Charge

Phone

(864) 234-5890

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PELHAM ROAD PHARMACY INC Doing business as

Locations

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.

• Nayan Desai, M.D.

  • Diagnostic Radiology Physician
  • Greenville, SC
  • NPI 1376503276
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1235140807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800B PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-234-5890",
            "fax_number": "864-234-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800B PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-234-5890",
            "fax_number": "864-234-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM ROAD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "864-234-5890",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "2040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720401",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PELHAM ROAD PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Pelfrey, RN
• Madison Ann-Nicole Pelfrey
• Pelham Community Healthcare LLC (Pelham Post Acute and Assisted Living)
• Pelham Family Practice LLC
• Pelham Oaks Dental
• Pelham Road Pharmacy Inc
• Joseph David Pelicano, DC
• Kimberly Pelicano
• Sara Colleen Pelikan-Cato, BCBA
• Sandra Lynn Pelisek, CRNA

• Community/Retail Pharmacy in Greenville, SC
• Providers in Greenville, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.