SOUTH CAROLINA CVS PHARMACY, L.L.C.


Address: 1504 Blue Ridge Blvd, Seneca, SC 29672-6601
Phone: 8648884022

SOUTH CAROLINA CVS PHARMACY, L.L.C. (NPI# 1154586063) 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) 1154586063
Entity Type Organization
Organization Name SOUTH CAROLINA CVS PHARMACY, L.L.C.
Other Organization Name CVS PHARMACY #04693
Practice Address 1504 Blue Ridge Blvd
Seneca
SC 29672-6601
Mailing Address 1 Cvs Dr
Box 1075 Pharmacy Ernollments
Woonsocket
RI 02895-6146
Practice Telephone 8648884022
Mailing Telephone 4017651500
Enumeration Date 2008-07-21
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 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
SC 1154586063 05
SC NCPDP 4227888 01
SC SC DME #DE3151 1154586063 01

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #04693 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386872604 South Carolina Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 101 Founders Bay Rd, Murrells Inlet, SC 29576 2009-06-25
1578798658 South Carolina Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 983 Harborview Rd, Charleston, SC 29412-4255 2009-05-19
1871759449 South Carolina Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 7697 Charlotte Hwy, Indian Land, SC 29707 2008-08-04
1992965263 South Carolina Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 1002 Sams Crossing Road, Columbia, SC 29229 2008-06-11
1316121262 South Carolina Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 9625 Highway 78, Ladson, SC 29456-3913 2007-12-27
1366640955 South Carolina Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 59 George Street, Charleston, SC 29401-1422 2007-07-05
1811194194 South Carolina Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 101 Fetlock Drive, Myrtle Beach, SC 29588 2007-06-29
1720111305 South Carolina Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 1602 Central Ave, Summerville, SC 29483-5528 2007-03-13
1700949328 South Carolina Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 900 Assembly St, Columbia, SC 29201-3938 2006-12-18
1093812596 South Carolina Cvs Pharmacy, L.L.C. Pharmacy 1141 State Park Rd, Greenville, SC 29609 2006-09-20

Office Location

Street Address 1504 BLUE RIDGE BLVD
City SENECA
State SC
Zip Code 29672-6601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285984633 Udayakiran Nagulapally Pharmacist 1504 Blue Ridge Blvd, Seneca, SC 29672 2012-09-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790308955 Pooja Kamboj Student in an Organized Health Care Education/Training Program 139 Lila Doyle Dr., Seneca, SC 29672 2020-05-22
1578126785 Johanna Marie Scarino Lemons Lactation Consultant, Non-RN 504 Willow Branch Ln, Seneca, SC 29672 2019-04-15
1982067971 Marthe Melanie Bryant Connah Family Medicine 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 2016-03-29
1558733220 Alyssa K. Locke Occupational Therapist 101 S-37-349, Seneca, SC 29672 2015-10-21
1497857742 Pulmonary Critical Care & Sleep Associates Pa Clinic/Center 107 Omni Drive, Suite A, Seneca, SC 29672 2006-09-05
1659381440 Timothy Aaron Zeller Family Medicine 139 Lila Doyle Dr, Seneca, SC 29672 2006-08-08
1871546978 Samuel Thomas Drake Specialist 103 Omni Dr Ste A, Seneca, SC 29672 2006-05-18
1235123878 Nancy Matz Thiel Chiropractor 355 Katelynn Lane, Seneca, SC 29672 2005-09-09
1265439954 David E Heape Emergency Medicine 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 2005-07-07
1407345846 Prisma Health-upstate Clinic/Center 139 Lila Doyle Drive, Seneca, SC 29672 2018-05-01
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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
1215045406 The Pharmacy At Park Place Pharmacy 12019 N Radio Station Rd, Seneca, SC 29678 2006-08-28
1720487481 Greenville Health System Pharmacy 298 Memorial Dr, Seneca, SC 29672-9443 2014-08-19
1174939078 Greenville Health Corporation Pharmacy 131 Lila Doyle Dr, Seneca, SC 29672-9495 2014-07-11
1548545569 Carolina Compounding Pharmacy Inc Pharmacy 205 Stork Way, Seneca, SC 29678-1039 2011-10-21
1528365046 Greenville Health Corporation Pharmacy 298 Memorial Dr, Seneca, SC 29672-9443 2011-02-18
1508903394 Rosa Clark Medical Center Pharmacy 301 Memorial Dr, Seneca, SC 29672 2007-01-31
1467483453 K Mart Corp Pharmacy 201 Applewood Center Pl, Seneca, SC 29678-0917 2006-07-06
1588624365 Hanover Professional Pharmacy Inc Pharmacy 701 Main St, Seneca, KS 66538-1931 2006-03-24
1346249521 Harsh Drug, Inc. Pharmacy 430 Main St, Seneca, KS 66538-1926 2005-07-19

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City SENECA
Zip Code 29672

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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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