SOUTH CAROLINA CVS PHARMACY LLC (NPI# 1134222904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134222904 |
Entity Type | Organization |
Organization Name | SOUTH CAROLINA CVS PHARMACY LLC |
Other Organization Name | CVS PHARMACY #04174 |
Practice Address |
87 Garner Rd Spartanburg SC 29303-3175 |
Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 8645835428 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2012-02-08 |
Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
Authorized Official Telephone | 4017702751 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 333600000X | Pharmacy | 5004216 | SC | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 4201896 | 01 |
Other Name | Type Code |
---|---|
CVS PHARMACY #04174 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590278 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1919 Springfield Parkway, Fort Mill, SD 29715 | 2020-08-25 |
1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
1134680762 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 40 D Mark Cummings Rd, Hardeeville, SC 29927-4447 | 2019-03-27 |
1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
1336409846 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 140 Sayebrook Pkwy, Myrtle Beach, SC 29588-6834 | 2012-05-18 |
1043509045 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2373 Augusta Highway, Lexington, SC 29072 | 2011-03-31 |
1093018228 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 820 N. Main St., Woodruff, SC 29388 | 2010-12-09 |
1871767566 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 914 W Georgia Rd., Simpsonville, SC 29680-6214 | 2008-04-15 |
1316155823 | South Carolina Cvs Pharmacy LLC | Pharmacy | 5119 Sunset Blvd, Lexington, SC 29072-9155 | 2007-05-18 |
1255490314 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8523 Old State Rd, Holly Hill, SC 29059 | 2006-12-06 |
Street Address |
87 GARNER RD |
City | SPARTANBURG |
State | SC |
Zip Code | 29303-3175 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093292401 | James Nicholas Riddle | Pharmacist | 87 Garner Rd, Spartanburg, SC 29303-3175 | 2018-07-27 |
1568948222 | Jerry Mcbride | Pharmacist | 87 Garner Rd, Spartanburg, SC 29303-3175 | 2018-07-16 |
1578084992 | Larkin Bello | Pharmacist | 87 Garner Rd, Spartanburg, SC 29303-3175 | 2017-07-06 |
1992181044 | Yuliya Neagu | Pharmacist | 87 Garner Rd, Spartanburg, SC 29303-3175 | 2015-07-30 |
1972919223 | Lindsey Ruth Jenkins | Pharmacist | 87 Garner Rd, Spartanburg, SC 29303-3175 | 2014-07-08 |
1467882233 | Sujung Feilen | Pharmacist | 87 Garner Rd, Spartanburg, SC 29303 | 2013-11-15 |
1740527118 | Vela Barner | Pharmacist | 87 Garner Rd, Spartanburg, SC 29303-3175 | 2013-01-05 |
1841549771 | Vicki Hawkins | Pharmacist | 87 Garner Rd, Spartanburg, SC 29303-0000 | 2012-09-06 |
1871841791 | Lianjie Xiong | Pharmacist | 87 Garner Rd, Cvs/pharmacy, Spartanburg, SC 29303-3175 | 2012-08-27 |
1467763839 | Christopher Reed Helms | Pharmacist | 87 Garner Rd, Spartanburg, SC 29303-3175 | 2010-06-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
Find all providers in zip 29303 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073780623 | South Church Health Mart Pharmacy LLC | Pharmacy | 550 S Church St, Unit #9, Spartanburg, SC 29306-3306 | 2008-05-13 |
1659465151 | Radhey, LLC | Pharmacy | 142 E Main St, Spartanburg, SC 29306-5113 | 2006-10-02 |
1528319548 | U-save-it Pharmacy Inc | Pharmacy | 2306 Chesnee Hwy, Ste 1, Spartanburg, SC 29303-5500 | 2012-10-01 |
1124382478 | Family Physicians of Spartanburg Pharmacy | Pharmacy | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2012-07-02 |
1992741888 | White Oak Pharmacy Inc | Pharmacy | 1233 Boiling Springs Rd, Spartanburg, SC 29303-2258 | 2006-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144840026 | Salubrius Pharmacy, LLC | Pharmacy | 120 Clair Dr, Powdersville, SC 29673-7771 | 2020-04-21 |
1073146502 | Greenville Health Corporation | Pharmacy | 115 N Sumter St Ste 220, Sumter, SC 29150-4972 | 2020-02-12 |
1043858996 | M Holdings LLC | Pharmacy | 808 Highway 378 Ste A, Lexington, SC 29072-8379 | 2019-12-11 |
1033760483 | Eau Claire Cooperative Health Center, Inc. | Pharmacy | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2019-09-26 |
1467002816 | Black River Pharmacy LLC | Pharmacy | 32a N Williamsburg County Hwy, Kingstree, SC 29556-2433 | 2019-09-18 |
1548821457 | Dipti H Patel | Pharmacy | 636 Chartwell Dr, Greer, SC 29650-4787 | 2019-06-23 |
1972163350 | Genesis Health Care, Inc | Pharmacy | 211 S Jones Rd Ste A, Olanta, SC 29114-9705 | 2019-06-18 |
1013571314 | Publix Super Markets, Inc. | Pharmacy | 730 Hopewell Drive, Charleston-berkeley, SC 29492-7102 | 2019-04-23 |
1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
Find all providers with the same taxonomy |
City | SPARTANBURG |
Zip Code | 29303 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.