SOUTH CAROLINA CVS PHARMACY, L.L.C. (NPI# 1720111305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720111305 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #03113 |
| Practice Address |
1602 Central Ave Summerville SC 29483-5528 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 4017651500 |
| Practice Fax Number | 4017707108 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-02-29 |
| 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 | 793678 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #03113 | 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 |
| 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 |
1602 CENTRAL AVE |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29483-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850017 | Kayla Pack Osteen | Nurse Practitioner | 1602 Central Ave, Summerville, SC 29483-9312 | 2020-01-20 |
| 1790101434 | Stacy Hutto Lawton | Nurse Practitioner | 1602 Central Ave, Summerville, SC 29483-9312 | 2014-03-05 |
| 1194158881 | Lindsey Marie Miller | Pharmacist | 1602 Central Ave, Summerville, SC 29483-9312 | 2013-08-16 |
| 1518217819 | Camille Cox | Pharmacist | 1602 Central Ave, Summerville, SC 29483 | 2012-09-13 |
| 1649520966 | John Marshall Buck IIi | Pharmacist | 1602 Central Ave, Summerville, SC 29483 | 2012-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764347 | Catherine M Bixler | Counselor | 314 W 4th St N, Summerville, SC 29483 | 2020-09-09 |
| 1255979431 | Jeanette Louise Virden | Counselor | 200 E 5th North Street, Summerville, SC 29483 | 2019-12-18 |
| 1912477415 | Kaylee Lobo | Nurse Practitioner | 203 Pavilion Street, Summerville, SC 29483 | 2018-11-28 |
| 1962981142 | Jackson Pediatric Dentistry of Summerville | Dentist | 405 West 4th Street North, Summerville, SC 29483 | 2018-08-09 |
| 1558885483 | Allied Medical Respiratory | Durable Medical Equipment & Medical Supplies | 200 W 5th North Street, Summerville, SC 29483 | 2017-08-02 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1649701897 | Usv Optical Inc. | Technician/Technologist | 1035 Jockey Ct., Summerville, SC 29483 | 2017-03-21 |
| 1497113617 | Roper Saint Francis Physicians Network | Surgery | 1112 N Main St Ste C, Summerville, SC 29483 | 2016-02-02 |
| 1083000798 | Andrea Sartori | Clinical Neuropsychologist | 107 W 5th North St Ste 102, Summerville, SC 29483 | 2015-04-09 |
| 1376931626 | Wendy Davis-jones | Home Health Aide | 203 Lakepointe Ave, Summerville, SC 29483 | 2015-01-08 |
| Find all providers in zip 29483 | ||||
| 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 |
|---|---|---|---|---|
| 1689868325 | Medicine Man Pharmacy L.L.C. | Pharmacy | 404 Trolley Rd, Summerville, SC 29485-5661 | 2007-09-05 |
| 1891898623 | Big B Drugs Inc | Pharmacy | 11220 Highway 27, Summerville, GA 30747-2032 | 2006-09-07 |
| 1497865182 | Kerr Drug Inc A Delaware Company | Pharmacy | 1515 Old Trolley Rd, Summerville, SC 29485-8208 | 2006-08-30 |
| 1568745081 | Publix Super Markets Inc | Pharmacy | 1724 State Rd, Summerville, SC 29483-2842 | 2011-09-21 |
| 1629095872 | Wal-mart Stores East Lp | Pharmacy | 1317 N Main St, Summerville, SC 29483-7342 | 2006-07-16 |
| 1821029810 | K Mart Corp | Pharmacy | 4570 Ladson Rd, Summerville, SC 29485-8531 | 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 | ||||
| City | SUMMERVILLE |
| Zip Code | 29483 |
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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.