NPIMap

Organization Active NPI

Peach Valley Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Spartanburg, SC
National Provider Identifier
1285667626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5000-5035 Issued in SC
Legal business name
PEACH VALLEY PHARMACY, INC.
Practice address
2306 Chesnee Hwy
Suite 1
Spartanburg, SC 29303-5500
Phone
(864) 577-0087
Fax
(864) 577-0599
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Hilton West II, R.PH.
Title
Owner/Ceo
Phone
(864) 577-0087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5000-5035 SC Primary

Addresses

Primary practice location

2306 Chesnee Hwy
Suite 1
Spartanburg, SC 29303-5500

Mailing address

2306 Chesnee Hwy
Suite 1
Spartanburg, SC 29303-5500
Phone (864) 577-0087

Other identifiers 1

IdentifierTypeStateIssuer
750351MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Peach Valley Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285667626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 CHESNEE HWY",
            "address_2": "SUITE 1",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293035500",
            "telephone_number": "864-577-0087",
            "fax_number": "864-577-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 CHESNEE HWY",
            "address_2": "SUITE 1",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293035500",
            "telephone_number": "864-577-0087",
            "fax_number": "864-577-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH VALLEY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEST II",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HILTON",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "864-577-0087",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "5000-5035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750351",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 22, 2020; 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.