Provider Type Icon

SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC NPI 1942270582


NPI Information

NPI: 1942270582
Provider Name: SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC

Doing Business As: SRHS PHARMACY GIBBS - CAROLINA UPSTATE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 42D1032228

Address:
380 SERPENTINE DR
STE 201
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-1864
Get Directions

SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC is a community/retail pharmacy pharmacy in Spartanburg, SC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT INC NPI is 1942270582. The provider is registered as an organization entity type.
The provider Is Doing Business As Srhs Pharmacy Gibbs - Carolina Upstate.

The provider's business location address is:

380 SERPENTINE DR
STE 201
SPARTANBURG, SC
ZIP 29303-066
Phone: (864) 560-1864
Fax: (864) 560-0864

The provider's authorized official is Timothy Gentilcore .
The authorized official title is Operations Manager - Retail Pharmac and has the following contact phone number (864) 560-1864.

The CLIA number assigned to this NPI record is 42D1032228 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 6/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy10237SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110237OTHERSOUTH CAROLINASC BOARD OF PHARMACY
2710237MEDICAIDSOUTH CAROLINA
32125027OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.