NPIMap

Organization Active NPI

Peach Valley Pharmacy LLC

  • Pharmacy
  • Spartanburg, SC
National Provider Identifier
1528319548
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
PEACH VALLEY PHARMACY LLC
Doing business as
U SAVE IT PHARMACY PEACH VALLEY
Practice address
2310 Chesnee Hwy
Spartanburg, SC 29303-5505
Phone
(864) 577-0087
Fax
(864) 577-0599
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Thomas Sharpe
Title
Member
Phone
(229) 435-4571

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X 14209 SC

Addresses

Primary practice location

2310 Chesnee Hwy
Spartanburg, SC 29303-5505

Mailing address

PO Box 72148
Albany, GA 31708-2148
Phone (229) 435-4571

Other identifiers 3

IdentifierTypeStateIssuer
1528319548MedicaidNC
2137378OtherPK
714209MedicaidSC

Other names 1

  • U SAVE IT PHARMACY PEACH VALLEY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231128003621 SC Part B Supplier - Mass Immunization (Roster Biller Only) 0840648010 Practice locations: Spartanburg, SC
O20240628000843 SC DME Supplier - Pharmacy 0840648010 Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory
Tax ID family
Peach Valley Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1528319548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72148",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317082148",
            "telephone_number": "229-435-4571",
            "fax_number": "229-878-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 CHESNEE HWY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293035505",
            "telephone_number": "864-577-0087",
            "fax_number": "864-577-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH VALLEY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "229-435-4571"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "14209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528319548",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137378",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714209",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U SAVE IT PHARMACY PEACH VALLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.