Active NPI
MRVM LLC
- Community/Retail Pharmacy
- Greenville, SC
National Provider Identifier
1508382839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 17448
- Legal business name
- MRVM LLC
- Practice address
- 1701 Augusta St
Greenville, SC 29605-2925 - Phone
- (864) 301-8441
- Fax
- (864) 301-8442
- NPI assigned
- Aug 18, 2017
- 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
- V Patel
- Title
- Owner
- Phone
- (864) 301-8441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 17448 | SC | Primary |
Addresses
Primary practice location
1701 Augusta St
Greenville, SC 29605-2925
Mailing address
1701 Augusta St
Greenville, SC 29605-2925
Phone (864) 301-8441
Other names 1
- Greenville Discount Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200817002428 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 4385060722 | Practice locations: Greenville, SC |
National Provider Directory
National Provider DirectoryLocations
1701 Augusta St
Greenville, SC 29605
Phone (864) 301-8441
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Greenville, SC
- NPI 1770253429
-
- Pharmacist
- Sarasota, FL
- NPI 1619563897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1508382839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 AUGUSTA ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296052925",
"telephone_number": "864-301-8441",
"fax_number": "864-301-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 AUGUSTA ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296052925",
"telephone_number": "864-301-8441",
"fax_number": "864-301-8442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRVM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-18",
"last_updated": "2022-07-21",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-301-8441"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "17448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Greenville Discount Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 21, 2022; 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.