Pelham Road Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

50002040 Issued in SC

Legal business name

PELHAM ROAD PHARMACY INC

Practice address

800 Pelham Rd Ste B
Greenville, SC 29615-3300

Phone

(864) 752-3333

Fax

(864) 752-3334

NPI assigned

Oct 15, 2008

Last updated

Mar 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nayan R Desai, R DRNPI 1376503276

Title

President

Phone

(864) 752-3286

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nayan Desai, M.D.

  • Diagnostic Radiology Physician
  • Greenville, SC
  • NPI 1376503276
  NPD Authorized official

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1669624193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 B PELHAM ROAD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29615",
            "telephone_number": "864-752-3333",
            "fax_number": "864-752-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PELHAM RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153300",
            "telephone_number": "864-752-3333",
            "fax_number": "864-752-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM ROAD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "NAYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-752-3286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R  DR"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "50002040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3094",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Ann-Nicole Pelfrey
• Pelham Community Healthcare LLC (Pelham Post Acute and Assisted Living)
• Pelham Family Practice LLC
• Pelham Oaks Dental
• Pelham Road Pharmacy Inc
• Joseph David Pelicano, DC
• Kimberly Pelicano
• Sara Colleen Pelikan-Cato, BCBA
• Sandra Lynn Pelisek, CRNA
• Maria M Pellegrino, CRNA

• Durable Medical Equipment & Medical Supplies in Greenville, SC
• Providers in Greenville, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.