SOUTH CAROLINA CVS PHARMACY, L.L.C. (NPI# 1184728982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184728982 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #02242 |
| Practice Address |
2580 Woodruff Rd Simpsonville SC 29681-5447 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8646277231 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-11-19 |
| 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 | 10774 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4221230 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #02242 | 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 |
| 1154586063 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1504 Blue Ridge Blvd, Seneca, SC 29672-6601 | 2008-07-21 |
| 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 |
| Street Address |
2580 WOODRUFF RD |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29681-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112696 | Brooke Nicole Makowski | Pharmacist | 2580 Woodruff Rd, Simpsonville, SC 29681-5447 | 2020-07-28 |
| 1104473065 | Sylvia Elaine Jackson | Nurse Practitioner | 2580 Woodruff Rd, Simpsonville, SC 29681-5447 | 2019-08-23 |
| 1508381518 | Thomas Blake Sanders | Pharmacist | 2580 Woodruff Rd, Simpsonville, SC 29681-5447 | 2017-08-10 |
| 1811372287 | Britney Cloud | Nurse Practitioner | 2580 Woodruff Rd, Simpsonville, SC 29681-5447 | 2015-07-27 |
| 1790029155 | Anna Marie Garcia Anolin | Pharmacist | 2580 Woodruff Rd, Simpsonville, SC 29681-5447 | 2012-11-23 |
| 1134478977 | Cvs Caremark | Clinic/Center | 2580 Woodruff Rd, Simpsonville, SC 29681 | 2012-09-07 |
| 1548548167 | Amanda Kornegay Marullo | Nurse Practitioner | 2580 Woodruff Rd, Simpsonville, SC 29681-5447 | 2011-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
| 1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
| 1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
| 1679924195 | Guardian Angels of The Upstate | Licensed Practical Nurse | 117 Fairview Pointe Dr, Simpsonville, SC 29681 | 2016-06-27 |
| 1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
| 1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| Find all providers in zip 29681 | ||||
| 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 |
|---|---|---|---|---|
| 1972573350 | Smith-mckenney Co Inc | Pharmacy | 141 Buck Creek Rd, Simpsonville, KY 40067-6674 | 2006-01-26 |
| 1932764388 | Wright Touch | Pharmacy | 305 Hudders Creek Way, Simpsonville, SC 29680-3566 | 2019-05-01 |
| 1538297890 | Howards Pharmacy LLC | Pharmacy | 102 S Main St, Simpsonville, SC 29681-2628 | 2007-03-01 |
| 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 | SIMPSONVILLE |
| Zip Code | 29681 |
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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.