Parker Road Drugs, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50002610 Issued in SC

Legal business name

PARKER ROAD DRUGS, INC

Practice address

1319 Woodside Ave
Greenville, SC 29611-3738

Phone

(864) 232-4662

Fax

(864) 271-5276

NPI assigned

Oct 25, 2006

Last updated

Oct 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John PetrichNPI 1700868494

Title

Owner and President

Phone

(864) 419-8563

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Jacob Petrich, R.P.H.

  • Pharmacist
  • Greenville, SC
  • NPI 1700868494
  NPD (past) Authorized official
• Christopher Braxton Epps, PHARMD

  • Pharmacist
  • Greenville, SC
  • NPI 1083189708
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1891879854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 WOODSIDE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113738",
            "telephone_number": "864-232-4662",
            "fax_number": "843-271-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 WOODSIDE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113738",
            "telephone_number": "864-232-4662",
            "fax_number": "864-271-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER ROAD DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "PETRICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "864-419-8563"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50002610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726101",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4217724",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Bray Pariyadath, MD
• Anand Pariyadath, MD
• Parke J Ladd LLC
• Charles Edward Parke, MD
• Parker Road Drugs, Inc (Parker Medical Equipment)
• Amanda Parker, PHARMD
• Anne V. Parker, M.D.
• Austin Parker, RN
• Cassandra Shivar Parker, FNP-BC
• Colleen M Parker, MD

• Community/Retail Pharmacy in Greenville, SC
• Providers in Greenville, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.