SOUTH CAROLINA CVS PHARMACY LLC (NPI# 1770686545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770686545 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #04205 |
| Practice Address |
2401 E North St Greenville SC 29615-1401 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8642441851 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-02-08 |
| 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 | 5004213 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4201935 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #04205 | 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 |
2401 E NORTH ST |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698913 | Maitram Bui | Pharmacist | 2401 E North St, Greenville, SC 29615-1401 | 2020-08-03 |
| 1487202107 | Darshana Bharatkumar Rana | Pharmacist | 2401 E North St, Greenville, SC 29615-1401 | 2019-08-27 |
| 1942712146 | Miriam Mokhtar Maklad | Pharmacist | 2401 E North St, Greenville, SC 29615-1401 | 2017-10-27 |
| 1447701727 | Sarah Ellen Smith | Pharmacist | 2401 E North St, Greenville, SC 29615-1401 | 2016-10-20 |
| 1386052983 | Travis Burch | Pharmacist | 2401 E North St, Greenville, SC 29615-1401 | 2014-07-27 |
| 1356776801 | Robert Louis Kent | Pharmacist | 2401 E North St, Greenville, SC 29615-1401 | 2013-09-03 |
| 1386085991 | Hunter Alexander Collie | Pharmacist | 2401 E North St, Greenville, SC 29615-1401 | 2013-07-11 |
| 1750722625 | Thomas Devon Peightal | Pharmacist | 2401 E North St, Greenville, SC 29615-1401 | 2013-07-08 |
| 1275883019 | Brady Philip Williams | Pharmacist | 2401 E North St, Greenville, SC 29615-1401 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| 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 |
|---|---|---|---|---|
| 1285105049 | West Pioneer LLC | Pharmacy | 9115 Wesley St Ste 4, Greenville, TX 75402-3841 | 2018-12-05 |
| 1205302254 | A & A Infusion & Specialty, LLC | Pharmacy | 423 Mcallister St, Greenville, MS 38701-4704 | 2018-10-17 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1437505880 | Physicians East Pa | Pharmacy | 1850 W Arlington Blvd Ste 100, Greenville, NC 27834-5704 | 2016-05-04 |
| 1164888038 | Addison & Partners, LLC | Pharmacy | 150 Howell Cir, 125, Greenville, SC 29615-4961 | 2016-01-08 |
| 1073917043 | St Francis Hospital Inc | Pharmacy | 104 Innovation Dr Ste 1050, Greenville, SC 29607-5253 | 2014-10-20 |
| 1639436561 | Om Rx Services LLC | Pharmacy | 5127 Wesley St, Greenville, TX 75402-6315 | 2012-04-17 |
| 1780958744 | Dogwood Pharmacy, LLC | Pharmacy | 1325 Miller Rd, Suite K, Greenville, SC 29607-6541 | 2012-03-08 |
| 1891063012 | Kelly's Pharmacy Inc. | Pharmacy | 4852 State Route 81, Greenville, NY 12083 | 2011-12-02 |
| 1235437518 | Pharmacy Innovations Inc | Pharmacy | 2221 Stantonsburg Rd, Greenville, NC 27834-2841 | 2011-03-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on SOUTH CAROLINA CVS PHARMACY LLC.
| 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.