SOUTH CAROLINA CVS PHARMACY LLC (NPI# 1912000605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912000605 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #05471 |
| Practice Address |
1071 S Lake Dr Lexington SC 29073-3719 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8039570605 |
| Practice Fax Number | 8039573579 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 50004544 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4217736 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #05471 | 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 |
1071 S LAKE DR |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29073-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164030599 | Erin Risner Shaffer | Pharmacist | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2020-07-22 |
| 1861963613 | Bishoi Rezk | Pharmacist | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2018-12-05 |
| 1568940047 | Chad Kemp Rogers | Pharmacist | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2018-08-06 |
| 1619475910 | Tenisha Smith | Nurse Practitioner | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2018-02-01 |
| 1477078590 | Linda Ann Corley | Pharmacist | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2017-08-09 |
| 1700301918 | Melanie Lombardi | Pharmacist | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2017-08-08 |
| 1790209302 | Laura Margaret Joseph | Pharmacist | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2017-07-26 |
| 1265953566 | Deanna Nickas | Pharmacist | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2017-06-28 |
| 1790230779 | Natalie Hames | Pharmacist | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2016-08-19 |
| 1497109003 | Cvs Health | Pharmacy | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2016-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464953 | Alexandra Maria Schutz | Dentist | 5443 Platt Springs Rd, Lexington, SC 29073 | 2018-07-20 |
| 1649769704 | Alecia Kristy Mckellar | Nurse Practitioner | 132 Mclee Road, Lexington, SC 29073 | 2018-05-04 |
| 1457712143 | Bela Family Dentistry of White Knoll | Dentist | 1915 Southlake Dr., Lexington, SC 29073 | 2016-03-09 |
| 1326431404 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 4458 Augusta Road Suite 1b, Lexington, SC 29073 | 2015-03-12 |
| 1821419102 | Megan Gadson | Counselor | 1068 South Lake Dr., Lexington, SC 29073 | 2014-01-03 |
| 1780937789 | Craig Elliott Pfeifer | Specialist/Technologist | 755 Colina Ct, Lexington, SC 29073 | 2012-10-16 |
| 1376893875 | Mary Glenn | Pharmacist | 1071 S. Lake Dr., Lexington, SC 29073 | 2012-09-12 |
| 1831471119 | Adam Dutton Redmond | Military Health Care Provider | 4346 Augusta Road, Lexington, CA 29073 | 2011-09-13 |
| 1033341433 | White Knoll Dentistry, LLC | Clinic/Center | 5545 Platt Springs Rd, Lexington, SC 29073 | 2009-08-18 |
| 1073748687 | Jacqueline Abrams | Behavioral Analyst | 460 Pin Oak Dr, Lexington, SC 29073 | 2009-05-27 |
| Find all providers in zip 29073 | ||||
| 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 |
|---|---|---|---|---|
| 1043858996 | M Holdings LLC | Pharmacy | 808 Highway 378 Ste A, Lexington, SC 29072-8379 | 2019-12-11 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1558803239 | Delaney Pharmacy LLC | Pharmacy | 2573 Richmond Rd Ste 300, Lexington, KY 40509-1710 | 2016-11-10 |
| 1144688318 | Baptist Healthcare System Inc | Pharmacy | 1700 Nicholasville Rd Ste 1210, Lexington, KY 40503-1431 | 2016-02-03 |
| 1659607919 | Doctors Choice Pharmacy,llc | Pharmacy | 905 Edgewood Ct, Lexington, KY 40515-5024 | 2009-10-21 |
| 1538305149 | Palutis Enterprises | Pharmacy | 3122 Mapleleaf Dr, Lexington, KY 40509-1240 | 2009-01-02 |
| 1558492652 | Lexington Pharmacy Inc | Pharmacy | 298 E Main St, Lexington, OH 44904-1300 | 2007-03-08 |
| 1245366608 | Tricare Pharmacy Network | Pharmacy | 1051 Newtown Pike Ste 140, Lexington, KY 40511-1245 | 2007-02-27 |
| 1740390434 | Kerr Drug Inc | Pharmacy | 1987 Cotton Grove Rd, Lexington, NC 27292-5721 | 2006-08-30 |
| 1104831742 | Dhanavantri Inc | Pharmacy | 146 S Main St Ste B, Lexington, VA 24450-2356 | 2006-07-30 |
| Find all providers in LEXINGTON | ||||
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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.