Active NPI
Memorial Pharmacy Inc
- Pharmacy
- Greenville, SC
National Provider Identifier
1821141920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 713187
- Legal business name
- MEMORIAL PHARMACY INC
- Practice address
- 100A Simpson St
Greenville, SC 29605-4413 - Phone
- (864) 295-1113
- Fax
- (864) 295-4419
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carl David Hill Jr., BSRPH.
- Title
- Pharmacist
- Phone
- (864) 295-1113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 713187 | SC | Primary |
Addresses
Primary practice location
100A Simpson St
Greenville, SC 29605-4413
Mailing address
100A Simpson St
Greenville, SC 29605-4413
Phone (864) 295-1113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 713187 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
100 Simpson St
Unit A
Greenville, SC 29605
Phone (864) 295-1113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1821141920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100A SIMPSON ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054413",
"telephone_number": "864-295-1113",
"fax_number": "864-295-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100A SIMPSON ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054413",
"telephone_number": "864-295-1113",
"fax_number": "864-295-4419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "864-295-1113",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "BSRPH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "SC",
"license": "713187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "713187",
"state": "SC"
}
],
"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 Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.