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PATRICK SQUARE PHARMACY
NPI 1881117695
Pharmacy - Community/Retail Pharmacy in Clemson, SC

Active since July 24, 2017CLIA 42D2206807 · Waiver
143 THOMAS GREEN BLVD, CLEMSON, SC 29631(864) 999-2900(864) 999-2901 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Jul 24, 2017 (2 updates tracked since 2017).

About Patrick Square Pharmacy NPPES

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

PATRICK SQUARE PHARMACY (NPI 1881117695) is a healthcare organization registered as a community/retail pharmacy in Clemson, South Carolina and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Kelly Patrick Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1881117695
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOMMUNITY PHARMACY GROUP, INC.
Location Address143 THOMAS GREEN BLVDClemson, SC 29631
Mailing Address143 Thomas Green BlvdClemson, SC 29631-2166 · (864) 999-2900 · Fax (864) 999-2901
Phone(864) 999-2900
Fax(864) 999-2901
Organization SubpartNo
Authorized OfficialKelly Patrick SmithOwner · (864) 999-2900
Enumeration DateJuly 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1881117695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in SC · 17368
Definition
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.
143 THOMAS GREEN BLVD, Clemson, SC 29631
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Other Names 1

Doing Business AsPatrick Square Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2206807

Patrick Square Pharmacy · Clemson, SC
Active · expires Dec 21, 2026
CLIA Number42D2206807
Laboratory TypePharmacy
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorLindsay B. Sparks
Laboratory Phone(864) 999-2900
Laboratory LocationPatrick Square Pharmacy143 Thomas Green Blvd, Clemson, SC 29631
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
113 services113 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
94 services94 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY SPARKS PHARM.D.
Pharmacist
143 THOMAS GREEN BLVD
CLEMSON, SC 29631
Pickens County (864) 999-2900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Pharmacy Group, Inc.'s NPI number?

The NPI number for Community Pharmacy Group, Inc. is 1881117695. It was assigned to this organization in the NPPES registry on July 24, 2017. The provider is doing business as Patrick Square Pharmacy.

Where is Community Pharmacy Group, Inc. located?

Community Pharmacy Group, Inc. is located at 143 Thomas Green Blvd, Clemson, SC 29631. The listed phone number is (864) 999-2900.

What is Community Pharmacy Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Community Pharmacy Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2206807) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Pharmacy Group, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Community Pharmacy Group, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Pharmacy Group, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.