Organization Active NPI

MRVM LLC

  • Community/Retail Pharmacy
  • Greenville, SC
National Provider Identifier
1508382839
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17448 Issued in SC
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200817002428 SC Part B Supplier - Mass Immunization (Roster Biller Only) 4385060722 Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.