Individual provider Active NPI

Rani Seedhom, PHARM.D.

  • Pharmacist
  • Greenville, SC
National Provider Identifier
1730438649
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12128 Issued in SC
Practice address
4102 Old Buncombe Rd
Greenville, SC 29617
Phone
(864) 371-3651
Fax
(864) 371-1334
NPI assigned
Sep 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12128 SC Primary

Addresses

Primary practice location

4102 Old Buncombe Rd
Greenville, SC 29617

Mailing address

4102 Old Buncombe Rd
Greenville, SC 29617

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
12128SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina CVS Pharmacy, L.L.C. Past Accepting new patients

Organizations & group practices 1

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1730438649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 OLD BUNCOMBE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 OLD BUNCOMBE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29617",
            "telephone_number": "864-371-3651",
            "fax_number": "864-371-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEDHOM",
        "first_name": "RANI",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.