Active NPI
P I Stores Inc
- Pharmacy
- Greenville, SC
National Provider Identifier
1982919874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 10460
- Legal business name
- P I STORES INC
- Practice address
- 640 Congaree Rd
Greenville, SC 29607-3518 - Phone
- (864) 241-0477
- Fax
- (716) 708-6248
- NPI assigned
- Aug 16, 2010
- 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
- Richard Moon
- Title
- Owner
- Phone
- (716) 720-5121
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 10460 | SC | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
640 Congaree Rd
Greenville, SC 29607-3518
Mailing address
2532 Johns Place
Jamestown, NY 14701
Phone (716) 720-5121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126269 | Other | PK | |
| 710460 | Medicaid | SC |
Other names 1
- Pharmacy Innovations
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657670400000",
"number": "1982919874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 JOHNS PLACE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "14701",
"telephone_number": "716-720-5121",
"fax_number": "716-708-6248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 CONGAREE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073518",
"telephone_number": "864-241-0477",
"fax_number": "716-708-6248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P I STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-16",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A",
"authorized_official_last_name": "MOON",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-720-5121"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "SC",
"license": "10460",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2126269",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "710460",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pharmacy Innovations",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pharmacy Innovations",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jul 13, 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.