SOUTH CAROLINA CVS PHARMACY LLC (NPI# 1265535942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265535942 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #05598 |
| Practice Address |
118 W Main St Liberty SC 29657-1141 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8648432726 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-09-10 |
| 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 | 5004282 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4212887 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #05598 | 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 |
118 W MAIN ST |
| City | LIBERTY |
| State | SC |
| Zip Code | 29657-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033594379 | Maria Floresguerra | Pharmacist | 118 W Main St, Liberty, SC 29657-1141 | 2015-07-28 |
| 1093134322 | Lynn Melton Capobianco | Pharmacist | 118 W Main St, Liberty, SC 29657-1141 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508233206 | Healing Grace Childbirth Services, LLC | Doula | 306 Burgess Rd, Liberty, SC 29657 | 2015-08-28 |
| 1124428016 | Mustang Medicine Works, LLC | Counselor | 5642 Moorefield Memorial Hwy., Liberty, SC 29657 | 2014-08-27 |
| 1336499706 | Waiyung Florence Ho | Pharmacist | 305 W.main Street, Liberty, SC 29657 | 2012-09-13 |
| 1679822639 | Jennifer Andrews Letourneau | Pharmacist | 305 W.main St, Liberty, SC 29657 | 2012-09-06 |
| 1912256025 | Freddie Honchar | Pharmacist | 429 East Main Street, Liberty, SC 29657 | 2012-09-05 |
| 1720096704 | Emerson Wiggins Rabon Jr. | Dentist | 1074 Anderson Dr, Liberty, SC 29657 | 2006-08-04 |
| 1811476013 | Kathryn Juanita Morrow | Nurse Practitioner | 300 W Front St, Liberty, SC 29657 | 2018-08-08 |
| 1184680134 | James L Wilson | Dentist | 207 W Front St, Liberty, SC 29657-1009 | 2006-04-26 |
| 1154605624 | Bright Smile Center - Liberty, Pa | Dentist | 207 W Front St, Liberty, SC 29657-1009 | 2011-10-03 |
| 1932376035 | Liberty Dental Care, Inc. | Clinic/Center | 207 W Front St, Liberty, SC 29657-1009 | 2008-05-08 |
| Find all providers in zip 29657 | ||||
| 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 |
|---|---|---|---|---|
| 1912438029 | Leighr Pharmacy Services LLC | Pharmacy | 1170 W Kansas St Ste K, Liberty, MO 64068-2177 | 2017-03-21 |
| 1518362581 | Casey County Pharmacy Inc | Pharmacy | 430 N Wallace Wilkinson Blvd, Liberty, KY 42539-3018 | 2014-11-03 |
| 1831533892 | Liberty Family Pharmacy Inc | Pharmacy | 430 N Greensboro St, Liberty, NC 27298-0000 | 2013-04-22 |
| 1831100346 | Wesley Drugs Inc | Pharmacy | 535 Middleburg St, Liberty, KY 42539 | 2006-08-10 |
| 1740666916 | Irls LLC | Pharmacy | 1909 Grand Ave, Liberty, TX 77575-4803 | 2015-08-10 |
| 1790052553 | Dpr Equity Inc | Pharmacy | 1987 State Route 52, Ste 3, Liberty, NY 12754-8316 | 2011-11-22 |
| 1730281072 | Lm Drug Corp | Pharmacy | 1987 State Route 52, Ste 3, Liberty, NY 12754-8316 | 2006-09-05 |
| 1306950381 | Cole-mcgill Enterprises Inc | Pharmacy | 115 W Main St, Liberty, SC 29657-1140 | 2006-08-18 |
| 1780615807 | K Mart Corp | Pharmacy | 2001 W Kansas St, Liberty, MO 64068-1961 | 2006-07-06 |
| 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.