NPIMap

Organization Active NPI

Ingles Markets Inc

  • Community/Retail Pharmacy
  • Laurens, SC
National Provider Identifier
1720192610
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50008878 Issued in SC
Legal business name
INGLES MARKETS INC
Practice address
901 E Main St
Laurens, SC 29360-3636
Phone
(864) 984-1492
Fax
(864) 984-1621
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Mr. Stephen V Cucchi, RPH
Title
VP of Pharmacy
Phone
(828) 669-2941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50008878 SC Primary

Addresses

Primary practice location

901 E Main St
Laurens, SC 29360-3636

Mailing address

PO Box 603941
Charlotte, NC 28260-3941
Phone (828) 669-4941

Other identifiers 2

IdentifierTypeStateIssuer
4226482OtherOTHER ID NUMBER-COMMERCIAL NUMBER
788785MedicaidSC

Other names 1

  • INGLES PHARMACY #044 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090812000378 SC Part B Supplier - Mass Immunization (Roster Biller Only) 5092867614 24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laurens, SC; Liberty, SC; Pickens, SC; Powdersville, SC; Seneca, SC; Spartanburg, SC; Travelers Rest, SC; West Union, SC…
O20100930032330 SC DME Supplier - PharmacyDME Supplier - Grocery Store 5092867614 Practice locations: Laurens, SC

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2184716Ingles Markets, Inc (Ingles Pharmacy #044)901 E Main Street, Laurens, SC 29360Certificate of waiverMay 21, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ingles Markets Inc901 E Main St, Laurens, SC 29360-3636(864) 984-1492 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Sep 24, 2024

National Provider Directory

National Provider Directory

Locations

901 E Main St
Laurens, SC 29360
Phone (864) 984-1492

Practitioners & affiliated clinicians

Practitioners 9

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1720192610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603941",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603941",
            "telephone_number": "828-669-4941",
            "fax_number": "828-669-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E MAIN ST",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293603636",
            "telephone_number": "864-984-1492",
            "fax_number": "864-984-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGLES MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "CUCCHI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "828-669-2941",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50008878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4226482",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "788785",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INGLES PHARMACY #044",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INGLES PHARMACY #044",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.