Kimberly Sue Sangiovanni
Individual provider Active NPI Pharmacist · Greer, SC
NPI 1780143594 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1780143594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 38061 (SC)
- Practice address
- 1524 Locust Hill Rd
Greer, SC 29651-6042 - Phone
- (864) 801-0149
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38061 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 38061 | SC | Yes |
Addresses
Primary practice location
1524 Locust Hill Rd
Greer, SC 29651-6042
Mailing address
313 Spokane Dr
Greenville, SC 29607-5159
Phone (207) 205-0563
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.