NPIMap

Organization Active NPI

Greenville Health Corporation

Doing business as Prisma Health Pharmacy 13

  • Pharmacy
  • Greenville, SC
National Provider Identifier
1285332890
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GREENVILLE HEALTH CORPORATION
Doing business as
Prisma Health Pharmacy 13
Practice address
1 E Stone Ave
Greenville, SC 29609-5619
Phone
(864) 522-6570
NPI assigned
Feb 22, 2023
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Polly H. Miller
Title
SVP Finance, Enterprise Contracting
Phone
(864) 522-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

1 E Stone Ave
Greenville, SC 29609-5619

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8613

Other names 1

  • Prisma Health Pharmacy 13 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230629003794 SC Part B Supplier - Pharmacy 4789644212 Practice locations: Greenville, SC

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Urgent Treatment Center24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Prisma Health-Upstate

    dba Prisma Health Roger C Peace-TBI

    • Comprehensive Outpatient Rehabilitation Facility (CORF)
    • Greenville, SC
    • NPI 1861947756

    Member Of

    NPD member

Locations

1333 Taylor St
Ste 6A
Columbia, SC 29201
Phone (803) 254-2706

1807 E Main St
Easley, SC 29640
Phone (864) 442-7482

200 Patewood Dr
Ste A12
Greenville, SC 29615
Phone (864) 454-2369

200 Patewood Dr
Ste B150
Greenville, SC 29615
Phone (864) 454-2369

200 Patewood Dr
Ste B170
Greenville, SC 29615
Phone (864) 420-7627

877 W Faris Rd
Greenville, SC 29605
Phone (864) 455-7800

845 S Buncombe Rd
Ste B
Greer, SC 29650
Phone (864) 522-1700

10702A Clemson Blvd
Seneca, SC 29678
Phone (864) 455-7716

112B Hospital Dr
Simpsonville, SC 29681
Phone (864) 454-6850

719 SE Main St
Simpsonville, SC 29681
Phone (864) 522-5400

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1285332890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E STONE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095619",
            "telephone_number": "864-522-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SVP FINANCE, ENTERPRISE CONTRACTING",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prisma Health Pharmacy 13",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prisma Health Pharmacy 13",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.