SOUTH CAROLINA CVS PHARMACY, L.L.C. (NPI# 1760586572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760586572 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #07159 |
| Practice Address |
2884 N Highway 17 Mt Pleasant SC 29466-8915 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8432167021 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 10752 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4225808 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #07159 | 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 |
2884 N HIGHWAY 17 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29466-8915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407255714 | Luciana Roncon | Pharmacist | 2884 N Highway 17, Mt Pleasant, SC 29466-8915 | 2014-08-22 |
| 1952719635 | Heather Webb | Pharmacist | 2884 N Highway 17, Mt Pleasant, SC 29466-8915 | 2014-07-26 |
| 1578812764 | Aisha Simmons President | Pharmacist | 2884 N Highway 17, Mt Pleasant, SC 29466-8915 | 2012-09-03 |
| 1669720215 | Cvs Pharmacy | Health Maintenance Organization | 2884 N Highway 17, Mt Pleasant, SC 29466-8915 | 2012-08-29 |
| 1891043709 | Tracie E Sweatt | Pharmacist | 2884 N Highway 17, Mt Pleasant, SC 29466-8915 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| 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 |
|---|---|---|---|---|
| 1578636049 | Brookshire Grocery Company | Pharmacy | 602 Jefferson Park, Attention Pharmacy Dept, Mt Pleasant, TX 75455 | 2006-11-15 |
| 1679657704 | Medical Center Family Pharmacy Inc | Pharmacy | 2001 N Jefferson Ave Ste 132, Mt Pleasant, TX 75455-2387 | 2006-10-25 |
| 1053423962 | J Webcorp Inc | Pharmacy | 412 N Jefferson Ave, Mt Pleasant, TX 75455-3937 | 2006-08-31 |
| 1871607861 | Mt Pleasant Professional Pharmacy | Pharmacy | 2322 Harts Bluff Rd, Mt Pleasant, TX 75455-7452 | 2006-08-18 |
| 1760424337 | Burns Drug Company | Pharmacy | 544 W Main St, Mt Pleasant, PA 15666-1801 | 2006-06-11 |
| 1265572820 | Specialty Pharmacy Services LLC | Pharmacy | 445 W Main St, Ste 7, Mt Pleasant, PA 15666-1533 | 2007-02-06 |
| 1205939469 | Saginaw Chippewa Indian Tribe | Pharmacy | 2591 S Leaton Rd, Mt Pleasant, MI 48858 | 2006-09-06 |
| 1215968292 | Kmart Operations LLC | Pharmacy | 100 Cross Roads Plz, Mt Pleasant, PA 15666-2287 | 2006-07-06 |
| 1942231931 | Kmart of Michigan Inc | Pharmacy | 2125 S Mission St, Mt Pleasant, MI 48858-4426 | 2006-07-06 |
| 1194756189 | K Mart Corp | Pharmacy | 1551 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3209 | 2006-07-06 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29466 |
Please comment or provide details below to improve the information on SOUTH CAROLINA CVS PHARMACY, L.L.C..
| 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.