Peach Valley Pharmacy LLC
NPI 1528319548ActiveOrganization· Pharmacy· Spartanburg, SC
Pharmacy in Spartanburg, South Carolina, registered in NPPES in October 2012. The authorized official on file is Thomas Sharpe, Member. Medicare paid $1,489 for services to 12 patients in 2024.
Overview
| NPI | 1528319548 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2012 |
| Last updated in NPPES | Jul 30, 2024 |
| Certified by provider | Jul 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 14209 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (SC); Part B Supplier - Mass Immunization (Roster Biller Only) (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 26 across 6 procedure codes |
| Paid by Medicare | $1,489 |
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