Active NPI
Sammy Teague, R.PH.
- Pharmacist
- Greenville, SC
National Provider Identifier
1255754149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4400
- Practice address
- 2014 Wade Hampton Blvd.
Greenville, SC 29615 - Phone
- (864) 214-8703
- Fax
- (864) 214-8704
- NPI assigned
- Jan 28, 2014
- 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 | 4400 | SC | Primary |
Addresses
Primary practice location
2014 Wade Hampton Blvd.
Greenville, SC 29615
Mailing address
2014 Wade Hampton Blvd.
Greenville, SC 29615
Phone (864) 214-8703
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 |
|---|---|---|---|
| 4400 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | 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.
-
- Community/Retail Pharmacy
- Greenville, SC
- NPI 1710327705
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1255754149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 WADE HAMPTON BLVD.",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-214-8703",
"fax_number": "864-214-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 WADE HAMPTON BLVD.",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-214-8703",
"fax_number": "864-214-8704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAGUE",
"first_name": "SAMMY",
"name_prefix": "Dr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-28",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4400",
"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 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.