Organization Active NPI

Sam Pharmacy and Health Food LLC

  • Community/Retail Pharmacy
  • Greenville, SC
National Provider Identifier
1487696209
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAM PHARMACY AND HEALTH FOOD LLC
Practice address
1803 Augusta St
Greenville, SC 29605-2980
Phone
(864) 233-9532
Fax
(864) 233-2075
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Husam BadrNPI 1205881596
Title
Owner
Phone
(864) 233-9532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 3416 SC
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1803 Augusta St
Greenville, SC 29605-2980

Mailing address

1803 Augusta St
Greenville, SC 29605-2980

Other identifiers 2

IdentifierTypeStateIssuer
4219552OtherOTHER ID NUMBER-COMMERCIAL NUMBER
734167MedicaidSC

National Provider Directory

National Provider Directory

Locations

1803 Augusta St
Greenville, SC 29605
Phone (864) 232-9577

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487696209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 AUGUSTA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 AUGUSTA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052980",
            "telephone_number": "864-233-9532",
            "fax_number": "864-233-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM PHARMACY AND HEALTH FOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BADR",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-233-9532"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "3416",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4219552",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "734167",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.