Organization Active NPI

Value Medical Inc. Pharmacy

  • Community/Retail Pharmacy
  • Piedmont, SC
National Provider Identifier
1396821633
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50009229 Issued in SC
Legal business name
VALUE MEDICAL INC. PHARMACY
Practice address
107 Kiowa LN
Piedmont, SC 29673
Phone
(800) 861-4965
Fax
(888) 448-1725
NPI assigned
Oct 30, 2006
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Ms. Teal D. Rabon, RPH
Title
Pharmacy Director
Phone
(800) 861-4965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50009229 SC Primary

Addresses

Primary practice location

107 Kiowa LN
Piedmont, SC 29673

Mailing address

107 Kiowa LN
Piedmont, SC 29673
Phone (800) 861-4965

Other identifiers 1

IdentifierTypeStateIssuer
792297MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Value Medical 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": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1396821633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 KIOWA LN",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "29673",
            "telephone_number": "800-861-4965",
            "fax_number": "888-448-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KIOWA LN",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "29673",
            "telephone_number": "800-861-4965",
            "fax_number": "888-448-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE MEDICAL INC. PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "RABON",
        "authorized_official_first_name": "TEAL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "800-861-4965",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50009229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "792297",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.