Active NPI
Value Medical Inc
- Community/Retail Pharmacy
- Piedmont, SC
National Provider Identifier
1588600035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 9229
- Legal business name
- VALUE MEDICAL INC
- Practice address
- 107 Kiowa LN
Piedmont, SC 29673-6751 - Phone
- (800) 861-4965
- Fax
- (888) 448-1725
- NPI assigned
- Jun 22, 2006
- 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
- Robert Stewart, RPH
- Title
- Principal
- Phone
- (800) 861-4965
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 9229 | SC | Primary |
Addresses
Primary practice location
107 Kiowa LN
Piedmont, SC 29673-6751
Mailing address
107 Kiowa LN
Piedmont, SC 29673-6751
Phone (800) 861-4965
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2092276 | Other | PK | |
| 769758 | Medicaid | SC |
Other names 1
- VALUE MEDICAL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Value Medical Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Piedmont, SC
- NPI 1396821633
Locations
107 Kiowa Ln
Piedmont, SC 29673
Phone (800) 861-4965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434412800000",
"number": "1588600035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 KIOWA LN",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "296736751",
"telephone_number": "800-861-4965",
"fax_number": "888-448-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 KIOWA LN",
"city": "PIEDMONT",
"state": "SC",
"postal_code": "296736751",
"telephone_number": "800-861-4965",
"fax_number": "888-448-1725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALUE MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2015-06-16",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "800-861-4965",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "9229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2092276",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "769758",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VALUE MEDICAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Piedmont, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.