Cherrydale Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CHERRYDALE PHARMACY INC

Practice address

535 W Butler Rd Ste B
Greenville, SC 29607-4833

Phone

(864) 640-8867

Fax

(864) 565-8364

NPI assigned

Dec 31, 2020

Last updated

Apr 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vaishali Patel

Title

Owner

Phone

(864) 640-8867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1427646868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WHITETHORN LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075676",
            "telephone_number": "864-640-8867",
            "fax_number": "864-565-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W BUTLER RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-640-8867",
            "fax_number": "864-565-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYDALE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VAISHALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-640-8867"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Cherry, DDS
• Cherrydale Chiropractic (Healthsource of CherryDale)
• Cherrydale Dental Associates, LLC
• Cherrydale Family Chiropractic
• Cherrydale Medical Practice PC (Doctors Express)
• Eric Todd Chesney, FNP-BC
• Alissa Nicole Chester
• Chestnut Hill Mental Health Center Inc (Springbrook Behavioral Health System)
• Chestnut Hill Mental Health Center, Inc. (SpringBrook Behavioral Health System)
• Michael Chestnut, MD

• Community/Retail Pharmacy in Greenville, SC
• Providers in Greenville, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.