Individual provider Active NPI

Taylor Greene Pennisi, PHARMD

  • Ambulatory Care Pharmacist
  • Aiken, SC
National Provider Identifier
1609398148
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
37166 Issued in SC
Practice address
102 Summerwood Way
Aiken, SC 29803-7704
Phone
(803) 649-5300
Fax
(803) 649-0056
NPI assigned
Jul 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 37166 SC Primary
Pharmacist 183500000X 37166 SC

Addresses

Primary practice location

102 Summerwood Way
Aiken, SC 29803-7704

Mailing address

102 Summerwood Way
Aiken, SC 29803-7704
Phone (803) 649-5300

Other identifiers 1

IdentifierTypeStateIssuer
37166OtherSCPHARMACIST LICENSE

Other names 1

  • Taylor Amanda Greene Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taylor.pennisi@uhsinc.com Direct Aiken Professional Association, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
37166SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Mar 27, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1609398148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SUMMERWOOD WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037704",
            "telephone_number": "803-649-5300",
            "fax_number": "803-649-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SUMMERWOOD WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037704",
            "telephone_number": "803-649-5300",
            "fax_number": "803-649-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNISI",
        "first_name": "TAYLOR",
        "middle_name": "GREENE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-15",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "SC",
            "license": "37166",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "37166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "37166",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor.pennisi@uhsinc.com",
            "affiliation": "Y",
            "endpointDescription": "Secured Email",
            "affiliationName": "Aiken Professional Association, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "102 Summerwood Way",
            "city": "Aiken",
            "state": "SC",
            "country_code": "US",
            "postal_code": "298037704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "GREENE",
            "middle_name": "AMANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.