Provider Demographics
NPI:1588545982
Name:SPIVEY, EDWARD PAGE (RPH)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:PAGE
Last Name:SPIVEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HIDDEN OAK TER
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-4728
Mailing Address - Country:US
Mailing Address - Phone:864-313-5164
Mailing Address - Fax:
Practice Address - Street 1:2035 WHISKEY RD
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-7956
Practice Address - Country:US
Practice Address - Phone:864-313-5164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC60700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist