Organization Active NPI

Oconee Neighborhood Pharmacy LLC

  • Community/Retail Pharmacy
  • Seneca, SC
National Provider Identifier
1467000588
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20200825000144 SC Part B Supplier - Mass Immunization (Roster Biller Only) 4880011741 Practice locations: Seneca, SC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.