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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 1154586063 | 05 | |
SC | NCPDP | 4227888 | 01 |
SC | SC DME #DE3151 | 1154586063 | 01 |
Other Name | Type Code |
---|---|
CVS Pharmacy #04693 | Doing Business As Name - Organization |
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 |
Street Address |
1504 BLUE RIDGE BLVD |
City | SENECA |
State | SC |
Zip Code | 29672-6601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285984633 | Udayakiran Nagulapally | Pharmacist | 1504 Blue Ridge Blvd, Seneca, SC 29672 | 2012-09-13 |
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 |
Find all providers in zip 29672 |
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 |
---|---|---|---|---|
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 |
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 |
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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.