NPIMap

Organization Active NPI

Spartanburg Regional Health Services District, Inc.

Doing business as SRHS Pharmacy - Pelham

  • Community/Retail Pharmacy
  • Greer, SC
National Provider Identifier
1902430267
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.
Doing business as
SRHS Pharmacy - Pelham
Practice address
2759 S Highway 14
Greer, SC 29650-4926
Phone
(864) 530-6460
NPI assigned
Feb 26, 2020
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Dr. Timothy Gentilcore, PHARMD
Title
Operations MGR - Retail Pharmacy
Phone
(864) 560-9212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2759 S Highway 14
Greer, SC 29650-4926

Mailing address

100 E Wood St Ste 103
Spartanburg, SC 29303-3001
Phone (864) 560-9212

Other identifiers 2

IdentifierTypeStateIssuer
7Z1072MedicaidSC
19339OtherSCSOUTH CAROLINA BOARD OF PHARMACY

Other names 1

  • SRHS Pharmacy - Pelham Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spartanburg Regional Health Services District Inc3 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.

Locations

100 E Wood St
Ste 103
Spartanburg, SC 29303

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1902430267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WOOD ST STE 103",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033001",
            "telephone_number": "864-560-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 S HIGHWAY 14",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504926",
            "telephone_number": "864-530-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "GENTILCORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OPERATIONS MGR - RETAIL PHARMACY",
        "authorized_official_telephone_number": "864-560-9212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7Z1072",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA BOARD OF PHARMACY",
            "identifier": "19339",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRHS Pharmacy - Pelham",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SRHS Pharmacy - Pelham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.