Active NPI
Oconee Neighborhood Pharmacy LLC
- Community/Retail Pharmacy
- Seneca, SC
National Provider Identifier
1467000588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- OCONEE NEIGHBORHOOD PHARMACY LLC
- Practice address
- 205 Stork Way
Seneca, SC 29678-1039 - Phone
- (864) 886-1096
- Fax
- (864) 973-9100
- NPI assigned
- Sep 2, 2019
- Last updated
- Aug 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kiran Kumar Allu
- Title
- Owner/Manager
- Phone
- (864) 886-1096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
205 Stork Way
Seneca, SC 29678-1039
Mailing address
205 Stork Way
Seneca, SC 29678-1039
Phone (864) 886-1096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200825000144 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 4880011741 | Practice locations: Seneca, SC |
National Provider Directory
National Provider DirectoryLocations
12019 N Radio Station Rd
#G
Seneca, SC 29678
Phone (864) 886-1096
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Seneca, SC
- NPI 1598064446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1467000588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 STORK WAY",
"city": "SENECA",
"state": "SC",
"postal_code": "296781039",
"telephone_number": "864-886-1096",
"fax_number": "864-973-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 STORK WAY",
"city": "SENECA",
"state": "SC",
"postal_code": "296781039",
"telephone_number": "864-886-1096",
"fax_number": "864-973-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCONEE NEIGHBORHOOD PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-02",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "ALLU",
"authorized_official_first_name": "KIRAN KUMAR",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "864-886-1096",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
- Oconee Internal Medicine Associates, PA
- Oconee Kidney Center, LLC
- Oconee Medical Center (Oconee Hospice of the Foothills)
- Oconee Medical Center
- Oconee Medical Center (Lila Doyle at Oconee Medical Center)
- Oconee OB-GYN Associates, P.a.
- Oconee Ophthalmology PA
- Oconee Pediatrics
- Oconee Pediatrics
- Oconee Pediatrics, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.