NPIMap

Organization Active NPI

Testforthat, LLC

  • Community/Retail Pharmacy
  • Greenville, SC
National Provider Identifier
1760806178
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15121 Issued in SC
Legal business name
TESTFORTHAT, LLC
Practice address
210 Brendan Way
Greenville, SC 29615-3515
Phone
(864) 325-9694
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Mr. Thomas Andres Canipe
Title
Chief Operating Officer
Phone
(864) 325-9694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 15121 SC Primary

Addresses

Primary practice location

210 Brendan Way
Greenville, SC 29615-3515

Mailing address

210 Brendan Way
Greenville, SC 29615-3515
Phone (864) 325-9694

Other names 1

  • Rejuvenx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rejuvenx3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1760806178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BRENDAN WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153515",
            "telephone_number": "864-325-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BRENDAN WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153515",
            "telephone_number": "864-325-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTFORTHAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "CANIPE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "864-325-9694",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "15121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 3, 2014; 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.