SOUTH CAROLINA CVS PHARMACY LLC (NPI# 1013010552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013010552 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #03849 |
| Practice Address |
3055 Broad River Rd Columbia SC 29210-5919 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8037984460 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-12-06 |
| 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 | 5004091 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4207672 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03849 | 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 |
3055 BROAD RIVER RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29210-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649648254 | Franklin Tyler Shull | Pharmacist | 3055 Broad River Rd, Columbia, SC 29210-5919 | 2015-09-14 |
| 1548504772 | Hsien Lai | Pharmacist | 3055 Broad River Rd, Columbia, SC 29210-5919 | 2012-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1942767843 | Thomas Edwin Cromer | Social Worker | 409 Evelyn Drive, Columbia, SC 29210 | 2019-02-27 |
| 1184193542 | Helen Hoffman Coleman | Pharmacist | 16 Berryhill Road, Ste 109, Columbia, SC 29210 | 2018-11-15 |
| 1356828040 | Latia Kelly Mcdonald | Counselor | 105 Beth Hope Lane, Columbia, SC 29210 | 2018-07-25 |
| 1356892848 | Butterfly Effects LLC | Community/Behavioral Health | 1607 Bentley Court, Columbia, SC 29210 | 2016-10-19 |
| 1114373651 | Lilian Emetu | Nurse Practitioner | 822 Statler Road, Columbia, SC 29210 | 2016-05-13 |
| 1154776433 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 507 Piney Grove Rd, Columbia, SC 29210 | 2016-04-25 |
| 1790167690 | Wanda Al-lahabi | Specialist | 1030 St. Andrews Rd., Suite B-3, Columbia, SC 29210 | 2015-06-26 |
| 1285040279 | Debra R. Smart | Counselor | 652 Bush Road, Suite 216, Columbia, SC 29210 | 2014-07-10 |
| 1144665282 | Snf Transportation LLC | Home Health | 810 Dutch Center Blvd, Columbia, SC 29210 | 2013-05-02 |
| Find all providers in zip 29210 | ||||
| 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] |
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| 1215561527 | Caldwell Drug | Pharmacy | 8141 Us Hwy. 165, Columbia, LA 71418 | 2020-02-25 |
| 1710479035 | Kilgore Inc | Pharmacy | 1901 Corporate Pl, Columbia, MO 65202-3700 | 2018-06-01 |
| 1861931578 | Chemist LLC | Pharmacy | 908 Highway 13 S, Columbia, MS 39429-3590 | 2017-02-14 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1982099107 | Columbia Town Center Pharmacy | Pharmacy | 5550 Sterrett Pl Ste 103, Columbia, MD 21044-2625 | 2015-04-03 |
| 1417364662 | North Century Pharmacy, Inc. | Pharmacy | 3058 Campbellsville Rd, Columbia, KY 42728-9511 | 2014-07-21 |
| 1104269620 | American Specialty Pharmacy Inc | Pharmacy | 5500 Knoll North Dr Ste 140, Columbia, MD 21045-2360 | 2013-04-15 |
| 1073860367 | Panda Investment Partners LLC | Pharmacy | 301 Rice Meadow Way Ste 5, Columbia, SC 29229-8404 | 2012-08-06 |
| 1821357120 | Wegmans Food Markets, Inc. | Pharmacy | 8855 Mcgaw Rd, Columbia, MD 21045-4713 | 2012-05-08 |
| 1770849424 | Compounder, LLC | Pharmacy | 6345 Woodside Court #102, Columbia, MD 21046-3224 | 2012-04-06 |
| Find all providers in COLUMBIA | ||||
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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.