# GREENVILLE HEALTH CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Upstate Pharmacy Cross Creek
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760718761
- **Authorized official:** POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT)
- **Authorized official phone:** (864) 522-2286

## Contact information

- **Practice address:** 111 DOCTORS DR, GREENVILLE, SC 29605-5622
- **Practice address phone:** (864) 797-7170
- **Practice address fax:** (864) 797-7175
- **Mailing address:** 300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
- **Mailing address phone:** (864) 455-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 10615 | SC | Yes |

## Other

- **Enumeration date:** 10/26/2009
- **Last updated:** 04/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2122470 | PK | — |
| 05 | — | 710615 | — | SC |