MEMORIAL PHARMACY INC
NPI 1821141920
Pharmacy in Greenville, SC

Active since January 19, 2007
100A SIMPSON ST, GREENVILLE, SC 29605(864) 295-1113(864) 295-4419 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Memorial Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL PHARMACY INC (NPI 1821141920) is a healthcare organization registered as a pharmacy in Greenville, South Carolina and active in the NPI registry since January 2007. The organization lists Carl David Hill, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1821141920
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMEMORIAL PHARMACY INC
Location Address100A SIMPSON STGreenville, SC 29605-4413
Mailing Address100a Simpson StGreenville, SC 29605-4413 · (864) 295-1113 · Fax (864) 295-4419
Fax(864) 295-4419
Organization SubpartNo
Authorized OfficialCarl David HillPharmacist · (864) 295-1113
Enumeration DateJanuary 19, 2007
Last NPPES UpdateNovember 28, 2007
NPI 1821141920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in SC · 713187
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

100A SIMPSON ST, Greenville, SC 29605

Other Identifiers 1

Medicaid713187SC

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2248923
Facility Type
Pharmacy
Certificate Effective Date
January 18, 2024
Certificate Expiration Date
January 17, 2026
Laboratory Director
SCOTT BOGGS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Memorial Pharmacy Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MEMORIAL PHARMACY INC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821141920, enumerated as an "organization" on January 19, 2007.

The provider is located at 100A SIMPSON ST GREENVILLE, SC 29605 and the phone number is (864) 295-1113.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medica, Moda Health Plan, Inc., Medicare and. Please consult your insurance carrier or call the provider to verify.