CVS PHARMACY (NPI# 1912257254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912257254 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY |
| Practice Address |
101 Fetlock Dr Myrtle Beach SC 28588 |
| Practice Telephone | 8432366300 |
| Practice Fax Number | 8432366335 |
| Mailing Telephone | 8432366300 |
| Mailing Fax Number | 8432366335 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | LAWRENCE JOHN MAIOLO (STAFF PHARMACIST) |
| Authorized Official Telephone | 8432366300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12794 | 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 |
| New York State Corporations | CVS PHARMACY, INC. | 28 Liberty St., New York, Ny 10005 |
| Oklahoma Business Registrations | CVS PHARMACY, INC. | One Cvs Dr, Woonsocket, RI 02895 |
| Vermont Business Registrations | CVS PHARMACY, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
101 FETLOCK DR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 28588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509411 | Amanda Page | Pharmacist | 101 Fetlock Dr, Myrtle Beach, SC 29588-9042 | 2014-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466145 | Ashley Anne Smith | Nurse Practitioner | 581 Hinson Dr Apt 834, Myrtle Beach, SC 29579-4460 | 2020-10-30 |
| 1053910596 | Sarah Xiao Jing Jarema | Physician Assistant | 1211 Hadley Cir Unit 4301, Myrtle Beach, SC 29577-8219 | 2020-10-24 |
| 1174122444 | Coastal Dermatology Institute LLC | Dermatology | 920 Doug White Dr Ste 310, Myrtle Beach, SC 29572-4180 | 2020-10-19 |
| 1174139919 | Orthosc LLC | Orthopaedic Surgery | 3620 Walton Dr Unit C-5c6, Myrtle Beach, SC 29577-6781 | 2020-09-17 |
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1215549100 | Catie R Rollins | Behavior Technician | 1200 Great Lakes Cir, Myrtle Beach, SC 29588-2950 | 2020-08-20 |
| 1740890433 | Polaris Jack, Inc. | Pharmacy | 3072 Dick Pond Rd Unit 2, Myrtle Beach, SC 29588-6954 | 2020-08-06 |
| 1770101974 | Marina Bartholomew | Registered Nurse | 6111 Brothers Hill Rd, Myrtle Beach, SC 29588-8953 | 2020-07-14 |
| 1801414503 | Laquanda O Chestnut | Registered Nurse | 184 Zinnia Dr, Myrtle Beach, SC 29579-7050 | 2020-07-09 |
| 1164049789 | Citadel Services, Inc | In Home Supportive Care | 195a Prather Park Dr, Myrtle Beach, SC 29588-7911 | 2020-06-30 |
| Find all providers in MYRTLE BEACH | ||||
| 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 |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1245703347 | Kaila Lee Brown | Pharmacist | 109 Breakers Dr Unit 421, Myrtle Beach, SC 29579-4422 | 2019-01-10 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1508308875 | Jamie Russell | Pharmacist | 2215 Brewster Dr Unit 438, Myrtle Beach, SC 29577-1762 | 2016-11-17 |
| 1942653845 | Kristina E Ferrell | Pharmacist | 178 Quail Hollow Rd, Myrtle Beach, SC 29579-7110 | 2016-07-15 |
| 1215312921 | Kaitlyn Rose Kupferer | Pharmacist | 3095 Howard Ave, Unit 301, Myrtle Beach, SC 29577-1914 | 2015-07-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| 1508285370 | Raymond Toth | Pharmacist | 2751 Beaver Run Blvd # Vd, Myrtle Beach, SC 29575-5381 | 2014-04-09 |
| 1801217617 | Scott Lamp | Pharmacist | 1903 Squealer Lake Covey, Myrtle Beach, SC 29588-8450 | 2013-12-20 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 28588 |
Please comment or provide details below to improve the information on CVS PHARMACY.
| 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.