MEDICARE: P I STORES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	3336C0004X	Compounding Pharmacy
3	333600000X	Pharmacy	10460	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2126269	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982919874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P I STORES INC

Provider Business Mailing Address
First Line	:	2532 JOHNS PLACE
Second Line	:
City	:	JAMESTOWN
State	:	NY
Zip	:	14701
Country	:	US
Telephone Number	:	716-720-5121
Fax Number	:	716-708-6248

Provider Business Practice Location Address
First Line	:	640 CONGAREE RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-3518
Country	:	US
Telephone Number	:	864-241-0477
Fax Number	:	716-708-6248

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD MOON
Credential	:
Telephone Number	:	716-720-5121

Provider Enumeration Date	:	08/16/2010
Last Update Date	:	07/13/2022

Similar Medicare Providers

1215366760 — ACCESSIBLE MOBILITY CENTER, LLC
Practice Location Address:

640 CONGAREE RD
GREENVILLE, SC
29607-3518

Practice Phone: 864-315-1899
Practice Fax:

1568084408 — SEA GLASS PERIODONTICS OF GREENVILLE
Practice Location Address:

600 CONGAREE RD
GREENVILLE, SC
29607-3518

Practice Phone: 864-757-8820
Practice Fax: 864-751-6387

1376287441 — STEPHANIE IRENE DRAKE DDS
Practice Location Address:

600 CONGAREE RD
GREENVILLE, SC
29607-3518

Practice Phone: 864-757-8820
Practice Fax:

1093010886 — MR. RICHARD E HANSEN RPH
Practice Location Address:

3518 HIGHWAY 153
GREENVILLE, SC
29611-7553

Practice Phone: 864-220-1380
Practice Fax: 864-295-2617

1023366184 — MR. DONALD JOSEPH PULLEY JR. RPH
Practice Location Address:

3518 HIGHWAY 153
GREENVILLE, SC
29611-7553

Practice Phone: 864-220-1380
Practice Fax:

1619304227 — MRS. SEEMA GALLAGHER PHARMD
Practice Location Address:

3518 HIGHWAY 153
GREENVILLE, SC
29611

Practice Phone: 864-587-9486
Practice Fax:

Directions to “P I STORES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.