NPI Code Details Logo

NPI 1851275366

NPI 1851275366 : PILLPACK LLC : SUMMERVILLE, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1851275366
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PILLPACK LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/05/2025
-----------------------------------------------------
    Last Update Date     |    09/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    237 JEDBURG RD SUITE 100 
-----------------------------------------------------
    City                 |    SUMMERVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29483
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-745-5725
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    237 JEDBURG RD STE 100 
-----------------------------------------------------
    City                 |    SUMMERVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29483-7516
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    855-745-5725
-----------------------------------------------------
    Fax                  |    603-935-9108
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VICE PRESIDENT
-----------------------------------------------------
    Name                 |     TANVI  PATEL 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    855-745-5725
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.