Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mike Deserio

Individual provider Pharmacist · NPI 1790034817

Mike Deserio is a Pharmacist in Greenville, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2012
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Practice location Address checks out

3901 Pelham Rd
Greenville, SC 29615
Phone: (864) 288-3672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 012216 (SC)

Record details

NPI number1790034817
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 5, 2012
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021

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