Organization Active NPI

Radhey, LLC

  • Community/Retail Pharmacy
  • Spartanburg, SC
National Provider Identifier
1659465151
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15442 Issued in SC
Legal business name
RADHEY, LLC
Practice address
142 E Main St
Spartanburg, SC 29306-5113
Phone
(864) 583-4521
Fax
(864) 582-0438
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Authorized official

Name
Mr. Kuntal J Patel, RPHNPI 1467826875
Title
Owner
Phone
(864) 583-4521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 15442 SC Primary

Addresses

Primary practice location

142 E Main St
Spartanburg, SC 29306-5113

Mailing address

142 E Main St
Spartanburg, SC 29306-5113
Phone (864) 583-4521

Other identifiers 1

IdentifierTypeStateIssuer
715442MedicaidSC

Other names 1

  • Smith Drug Store No.1 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150127002233 SC Part B Supplier - Mass Immunization (Roster Biller Only) 0749504546 Practice locations: Spartanburg, SC
O20151019001837 SC DME Supplier - Pharmacy 0749504546 Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory
Tax ID family
Radhey 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745712000000",
    "number": "1659465151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065113",
            "telephone_number": "864-583-4521",
            "fax_number": "864-582-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065113",
            "telephone_number": "864-583-4521",
            "fax_number": "864-582-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KUNTAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-583-4521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "15442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "715442",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Drug Store No.1",
            "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 Apr 27, 2025; 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.