SOUTH CAROLINA CVS PHARMACY LLC (NPI# 1023111895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023111895 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #04281 |
| Practice Address |
2500 Broad St Camden SC 29020-2225 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8034325103 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 50004530 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4207975 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #04281 | 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 |
2500 BROAD ST |
| City | CAMDEN |
| State | SC |
| Zip Code | 29020-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760906242 | Jonathan Banks | Pharmacist | 2500 Broad St, Camden, SC 29020-2225 | 2017-07-27 |
| 1053665265 | Elizabeth Roller Dornblaser | Pharmacist | 2500 Broad St, Camden, SC 29020-2225 | 2012-11-09 |
| 1346598364 | Jamie Truesdale | Pharmacist | 2500 Broad St, Camden, SC 29020-2225 | 2012-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252940 | Carolina Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 708 Lafayette Ave, Ste 4, Camden, SC 29020 | 2020-07-09 |
| 1205493871 | Kershaw County Board of Disabilities and Special Needs | Early Intervention Provider Agency | 1619 Jefferson Davis Highway, Camden, SC 29020 | 2019-05-20 |
| 1831669415 | Jennifer Dawn Colby | Counselor | 709 Mill Street, Camden, SC 29020 | 2018-11-27 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1730684036 | Speech Haus, LLC | Clinic/Center | 1029 Broadstreet, Suite 3, Kershaw, SC 29020 | 2018-03-28 |
| 1811414675 | Audra Rowell Scott | Registered Nurse | Kershaw County Health Department, 1116 Church Street, Camden, SC 29020 | 2017-08-23 |
| 1386173789 | Robert James Mccarthy | Specialist/Technologist | 410 Chewning Street, Camden, SC 29020 | 2017-06-08 |
| 1902357205 | First Physical Therapy LLC | Clinic/Center | 1114 Mill St, Camden, SC 29020 | 2016-10-21 |
| 1831598846 | Estate of William J Biggins | Dentist | 1015 Fair Street, Camden, SC 29020 | 2014-08-14 |
| 1154748424 | Diane Mcdonald | Registered Nurse | 1611 Church St, Camden, SC 29020 | 2014-03-25 |
| Find all providers in zip 29020 | ||||
| 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 |
|---|---|---|---|---|
| 1962811125 | Broadway Discount Pharmacy Inc | Pharmacy | 315 S. Broadway, Broadway Discount Pharmacy Inc, Camden, NJ 08103-1208 | 2014-08-12 |
| 1912146135 | Cramer Hill Pharmacy | Pharmacy | 949 N 25th St, Camden, NJ 08105-3823 | 2009-02-11 |
| 1821124223 | Rajsita LLC | Pharmacy | 2940 Yorkship Sq, Camden, NJ 08104-2895 | 2007-02-27 |
| 1528101680 | Kasp LLC | Pharmacy | 433 N 7th St, Camden, NJ 08102-2212 | 2007-02-15 |
| 1144393471 | Brookshire Grocery Company | Pharmacy | 1345 Hwy 4 Spur Sw, Attention Pharmacy Dept, Camden, AR 71701 | 2006-11-16 |
| 1871675678 | Carol A Hardin | Pharmacy | 75 W Central Ave, Camden, OH 45311-1007 | 2006-10-20 |
| 1336256510 | Kph Healthcare Services, Inc. | Pharmacy | 2 Preston St, Camden, NY 13316-1216 | 2006-08-24 |
| 1689691867 | Wal-mart Stores East Lp | Pharmacy | 2200 Highway 641 N, Camden, TN 38320-5276 | 2006-07-16 |
| 1558393579 | Freds Stores of Tennessee Inc | Pharmacy | 24 Camden Byp, Camden, AL 36726-1770 | 2006-07-07 |
| 1154365468 | Main Street Pharmacies of South Carolina, LLC | Pharmacy | 1023a W Dekalb St, Camden, SC 29020-4162 | 2006-06-16 |
| Find all providers in CAMDEN | ||||
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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.