Organization Active NPI

Value Medical Southeast Pharmacy

  • Mail Order Pharmacy
  • Piedmont, SC
National Provider Identifier
1700095973
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
23857 Issued in AL
Legal business name
VALUE MEDICAL SOUTHEAST PHARMACY
Practice address
105 Kiowa Lane
Piedmont, SC 29673
Phone
(800) 861-4965
Fax
(888) 448-1725
NPI assigned
May 22, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Robert Brett Stewart
Title
Principal
Phone
(800) 861-4965

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50009230 SC
Mail Order Pharmacy 3336M0002X 08942 NC
Mail Order Pharmacy 3336M0002X 23857 AL Primary

Addresses

Primary practice location

105 Kiowa Lane
Piedmont, SC 29673

Mailing address

105 Kiowa Lane
Piedmont, SC 29673
Phone (800) 861-4965

Other identifiers 2

IdentifierTypeStateIssuer
4224781OtherSCNCPDP #
57-009230OtherSCBOARD OF PHARMACY PERMIT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1700095973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 KIOWA LANE",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "29673",
            "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": "105 KIOWA LANE",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "29673",
            "telephone_number": "800-861-4965",
            "fax_number": "888-448-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE MEDICAL SOUTHEAST PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "800-861-4965",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50009230",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NC",
            "license": "08942",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "AL",
            "license": "23857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "4224781",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "57-009230",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 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.