SOUTH CAROLINA CVS PHARMACY LLC


Address: 87 Garner Rd, Spartanburg, SC 29303-3175
Phone: 8645835428

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 4201896 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY #04174 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 87 GARNER RD
City SPARTANBURG
State SC
Zip Code 29303-3175

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SPARTANBURG
Zip Code 29303

Improve Information

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Dataset Information

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.

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