Life Pharmacy of Greer LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

16258 Issued in SC

Legal business name

LIFE PHARMACY OF GREER LLC

Practice address

406 W Poinsett St
Greer, SC 29650-1550

Phone

(864) 879-2325

Fax

(864) 849-0961

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Joseph Blizzard

Title

Owner

Phone

(803) 755-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skrip Shoppe Compounding Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Monroe Greene Jr., RPH

  • Pharmacist
  • Greer, SC
  • NPI 1407863863
  NPD (past)

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1326368010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501550",
            "telephone_number": "864-879-2325",
            "fax_number": "864-849-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501550",
            "telephone_number": "864-879-2325",
            "fax_number": "864-849-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE PHARMACY OF GREER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "BLIZZARD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-755-9600"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "SC",
            "license": "16258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154671",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skrip Shoppe Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Anthony Lepage, M.D.
• Lesle Long, Mdvip, LLC
• Allison Lieb, DPT
• Kayla Lien
• Life Cycle Physical Therapy LLC
• Lifestyle Neurology, LLC
• Light Within Counseling, LLC
• Abigale Lipe, PHARMD
• Rebecca Christine Littlejohn, AGACNP-BC
• Kerri Nicole Lively, OT

• Compounding Pharmacy in Greer, SC
• Providers in Greer, SC by specialty
• Compounding Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.