PEACOCK PHARMACY LLC (NPI# 1942528278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942528278 |
| Entity Type | Organization |
| Organization Name | PEACOCK PHARMACY LLC |
| Other Organization Name | PEACOCK PHARMACY,LLC |
| Practice Address |
550 S Church St Ste 9 Spartanburg SC 29306-3306 |
| Mailing Address |
1201 Highway 37 19e Suite 3 Elizabethton TN 37643-4678 |
| Practice Telephone | 8645964501 |
| Practice Fax Number | 8645964503 |
| Mailing Telephone | 4235422195 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | DIANDRA BROOKS (PHARMACIST) |
| Authorized Official Telephone | 8645964501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
10993 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4229680 | 01 |
| Other Name | Type Code |
|---|---|
| Peacock Pharmacy,LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952612848 | Peacock Pharmacy LLC | Pharmacy | 2099 E Main St Ste G, Duncan, SC 29334-8886 | 2010-06-25 |
| 1699086546 | Peacock Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8147 Warren H Abernathy Hwy, Spartanburg, SC 29301-2451 | 2010-06-25 |
| Street Address |
550 S CHURCH ST STE 9 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29306-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487111738 | Paladina Health, LLC | Family Medicine | Paladina Health Spartanburg Palmetto Bank, 101 West Saint John Street Suite 107, Spartanburg, SC 29306 | 2019-02-22 |
| 1295253441 | Michael Neal Quinn | Chiropractor | 851 John B White Sr Blvd, Spartanburg, SC 29306 | 2017-09-07 |
| 1003347980 | T and T Home Health Care | Home Health | 1315 John B White Sr Blvd, Spartanburg, SC 29306 | 2017-03-23 |
| 1942601174 | Carolina Dental Docs LLC General Dentistry for Kids | Dentist | 1460 John B White Sr Blvd, Ste 1-c, Spartanburg, SC 29306 | 2014-09-08 |
| 1801237375 | Jireh Services,llc | Specialist | 180 John B. White Sr. Blvd, Spartanburg, SC 29306 | 2013-07-12 |
| 1811268683 | Rochelle Janene Delain | Chiropractor | 1425 John B. White, Sr. Boulevard, Spartanburg, SC 29306 | 2012-01-25 |
| 1366602229 | Jasjot K. Bhullar | Internal Medicine | 1410-b John B. White Sr. Boulevard, Spartanburg, SC 29306 | 2008-06-13 |
| 1356543045 | Cheryl B Haman | Counselor | 200 Ezell Street, Spartanburg, SC 29306 | 2007-06-04 |
| 1821142506 | Paula F Wilson | Counselor | 335 Caulder Ave, Spartanburg, SC 29306 | 2007-01-22 |
| 1154473163 | Ronald E Marshall Dds Pa | Dentist | 1410 John B White Sr Blvd, Spartanburg, SC 29306 | 2007-01-18 |
| Find all providers in zip 29306 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265045322 | Ptvp | Pharmacy | 8007 Warren H Abernathy Hwy, Spartanburg, SC 29301-2449 | 2020-08-28 |
| 1063915643 | Hub City Pharmacy LLC | Pharmacy | 1735 John B White Sr Blvd, Spartanburg, SC 29301-5482 | 2018-03-09 |
| 1245591668 | Shertech Pharmacy Spartanburg | Pharmacy | 1360 Drayton Rd, Spartanburg, SC 29307-5104 | 2012-06-01 |
| 1073789111 | Ingles Markets Inc | Pharmacy | 2375 Chesnee Hwy, Spartanburg, SC 29303 | 2008-05-07 |
| 1154521037 | Costco Wholesale Corporation | Pharmacy | 211 W Blackstock Rd, Spartanburg, SC 29301 | 2007-07-19 |
| 1205910338 | Ingles Markets Inc | Pharmacy | 8004 Warren H Abernathy Hwy, Spartanburg, SC 29301-2448 | 2006-10-25 |
| 1134222904 | South Carolina Cvs Pharmacy LLC | Pharmacy | 87 Garner Rd, Spartanburg, SC 29303-3175 | 2006-09-07 |
| 1720093818 | Walgreen Co | Pharmacy | 1790 E Main St, Spartanburg, SC 29307-2231 | 2006-07-29 |
| 1568477412 | Ingles Markets Inc | Pharmacy | 2000 S Pine St, Spartanburg, SC 29302-3315 | 2006-07-29 |
| 1194730283 | Walgreen Co | Pharmacy | 2410 Reidville Rd, Spartanburg, SC 29301-3652 | 2006-07-29 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29306 |
Please comment or provide details below to improve the information on PEACOCK PHARMACY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.