Active NPI
Kimberly Sue Sangiovanni
- Pharmacist
- Greer, SC
National Provider Identifier
1780143594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38061
- Practice address
- 1524 Locust Hill Rd
Greer, SC 29651-6042 - Phone
- (864) 801-0149
- NPI assigned
- Mar 19, 2019
- Last updated
- May 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 38061 | SC | Primary |
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
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
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 |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1780143594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 SPOKANE DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075159",
"telephone_number": "207-205-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 LOCUST HILL RD",
"city": "GREER",
"state": "SC",
"postal_code": "296516042",
"telephone_number": "864-801-0149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGIOVANNI",
"first_name": "KIMBERLY",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2021-05-20",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "38061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
- Sergio A Sanchez, MD
- Sanders Healthcare LLC (Brightstar Care of Greenville/Spartanburg)
- Jennifer Sanders, NP
- Sandra E. Luyindula, MD LLC
- Sandra H. Adams MSW, PA
- Jan Kenneth Sangrones, RN
- Sarah Anns Undercover World of Easley, Inc
- Elizabeth Carter Saraswat, LISW-CP
- Melissa Carole Sarratt, RPH
- Mona A Sattar, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.