NPIMap

Organization Active NPI

McLeskey-Todd Pharmacy of Greer Inc

  • Community/Retail Pharmacy
  • Greer, SC
National Provider Identifier
1962486696
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
14318 Issued in SC
Legal business name
MCLESKEY-TODD PHARMACY OF GREER INC
Practice address
109 N Main St
Greer, SC 29650-1921
Phone
(864) 877-0753
Fax
(864) 877-5171
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
James Wall, RPHNPI 1386983625
Title
Owner
Phone
(864) 877-0753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 14318 SC Primary

Addresses

Primary practice location

109 N Main St
Greer, SC 29650-1921

Mailing address

109 N Main St
Greer, SC 29650-1921
Phone (864) 877-0753

Other identifiers 2

IdentifierTypeStateIssuer
714319MedicaidSC
2090110OtherPK

Other names 1

  • MCLESKEY TODD PHARMACY OF GREER INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930003812 SC DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 9638299142 Practice locations: Greer, SC
O20130930000412 SC Part B Supplier - Mass Immunization (Roster Biller Only) 9638299142 Practice locations: Greer, SC
O20210226001253 SC Part B Supplier - Pharmacy 9638299142 Practice locations: Greer, SC

National Provider Directory

National Provider Directory

Locations

109 N Main St
Greer, SC 29650
Phone (864) 877-0753

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1962486696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N MAIN ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501921",
            "telephone_number": "864-877-0753",
            "fax_number": "864-877-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N MAIN ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501921",
            "telephone_number": "864-877-0753",
            "fax_number": "864-877-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLESKEY-TODD PHARMACY OF GREER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-877-0753",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "14318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714319",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLESKEY TODD PHARMACY OF GREER INC",
            "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 May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.