CVS PHARMACY (NPI# 1629312111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629312111 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY |
| Practice Address |
240 Planters Trace Rd Santee SC 29142 |
| Mailing Address |
240 Planters Trace Rd Santee SC 29142-9274 |
| Practice Telephone | 8038542417 |
| Mailing Telephone | 8038542417 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |
| Authorized Official Name | YVETTE B BULL (PHARMACIST) |
| Authorized Official Telephone | 8038542417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7613 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629502109 | Cvs Pharmacy | Pharmacy | 1606 Fox Hollow Rd, Greensboro, NC 27410-3704 | 2017-04-12 |
| 1558805994 | Cvs Pharmacy | Clinic/Center | 4451 Telfair Blvd Apt 3084, Camp Springs, MD 20746-5255 | 2016-12-04 |
| 1922541143 | Cvs Pharmacy | Substance Abuse Rehabilitation Facility | 35 Padanaram Rd, Danbury, CT 06811-3701 | 2016-11-19 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1023472602 | Cvs Pharmacy | Pharmacist | 19511 I H 45, Spring, TX 77388 | 2016-04-08 |
| 1053785964 | Cvs Pharmacy | Pharmacy | 28635 N North Vally Parkway, Phoenix, AZ 85085 | 2015-11-17 |
| 1689047250 | Cvs Pharmacy | Pharmacist | 2053 Katnich Ln, Lodi, CA 95242-4805 | 2015-11-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1114319811 | Cvs Pharmacy | Pharmacist | 1631 Paddock Club Ln, Unit 108, Fort Mill, SC 29715-5553 | 2015-03-04 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CVS Pharmacy Inc. | 1 Cvs Dr, Woonsocket, Rhode Island 02895-6146 |
| Oregon Corporations, Companies and Business Names | CVS PHARMACY, INC. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Iowa Business Entities | CVS PHARMACY, INC. | One Cvs Dr, Woonsocket, RI 02895 |
| Massachusetts Corporations | CVS PHARMACY, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| Washington State Corporations | CVS PHARMACY, INC. | 1 Cvs Dr # 1160, Woonsocket, RI 02895-6146 |
| Colorado Business Entities | CVS Pharmacy, Inc. | 1 Cvs Drive, Mc 1160, Woonsocket, RI 02895 |
| Connecticut Business Registrations | CVS PHARMACY, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
240 PLANTERS TRACE RD |
| City | SANTEE |
| State | SC |
| Zip Code | 29142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124577796 | Yvette Bull | Pharmacist | 240 Planters Trace Rd, Santee, SC 29142-9274 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184861411 | Palmetto Eye Associates | Optometrist | 150 Plaza Circle, Santee, SC 29142 | 2009-01-08 |
| 1285890186 | Santee Family Medical Ctr | Clinic/Center | 309 Santee River Plz, Santee, SC 29142 | 2008-07-31 |
| 1205004520 | Santee Dental Care | Dentist | 190 B Plaza Circle, Santee, SC 29142 | 2008-02-20 |
| 1407032295 | Carolina Cataract Clinic | Ophthalmology | 8799 Old Highway # 6, Santee, SC 29142 | 2008-01-11 |
| 1891854949 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8910 Old Highway 6, Santee, SC 29142 | 2006-12-06 |
| 1114935475 | Medical Center of Santee LLC | Clinic/Center | 500 Bass Drive, Santee, SC 29142 | 2006-08-03 |
| 1821600917 | Melissa Kathryn Cherry | Pharmacist | 8910 Old Highway 6, Santee, SC 29142 | 2020-08-19 |
| 1407040728 | Delores Gregory Hollen | Counselor | 8799 Old Highway #6, Santee, SC 29142 | 2007-08-29 |
| 1467869776 | Vanester Ravenell | Social Worker | 1580 Bass Dr, Santee, SC 29142-0000 | 2014-07-18 |
| 1104228311 | Management Services of Santee | Exclusive Provider Organization | 1580 Bass Dr, Santee, SC 29142-0000 | 2014-09-18 |
| Find all providers in zip 29142 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669716643 | David Pinckney Shuler Jr. | Pharmacist | 802 Planters Trace Rd, Santee, SC 29142-9279 | 2012-11-15 |
| 1740559434 | Helen Dong | Pharmacist | 9305 Mission Gorge Rd, Santee, CA 92071-3815 | 2011-12-24 |
| 1174805824 | Matthew Van Noort | Pharmacist | 10512 Mission Gorge Rd, Santee, CA 92071-3146 | 2011-09-19 |
| 1598047557 | Kelly Flanagan | Pharmacist | 9305 Mission Gorge Road, Santee, CA 92071 | 2011-09-15 |
| 1104146752 | Mazin J Hami | Pharmacist | 9759 Mission Gorge Rd, Santee, CA 92071-3809 | 2010-06-06 |
| 1821600917 | Melissa Kathryn Cherry | Pharmacist | 8910 Old Highway 6, Santee, SC 29142 | 2020-08-19 |
| 1174155329 | Kaheun Kim | Pharmacist | 9730 Mission Gorge Rd, Santee, CA 92071-3808 | 2020-02-06 |
| 1780224386 | Regina Cabrera | Pharmacist | 9846 Mission Gorge Rd, Santee, CA 92071-3834 | 2020-01-11 |
| 1710524780 | Phuong-uyen Hoang Tran | Pharmacist | 9730 Mission Gorge Rd, Santee, CA 92071 | 2019-12-09 |
| 1548807936 | Jason Anthony Massey | Pharmacist | 9730 Mission Gorge Rd, Santee, CA 92071-3808 | 2019-12-04 |
| Find all providers in SANTEE | ||||
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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.