CVS (NPI# 1205202132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205202132 |
| Entity Type | Organization |
| Organization Name | CVS |
| Practice Address |
1071 S Lake Dr Lexington SC 29073-3719 |
| Practice Telephone | 8039570605 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | MRS. TERRA JONES (PHARMACY DISTRICT MANAGER) |
| Authorized Official Telephone | 8033315105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 36266 | SC | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327568 | Cvs | Pharmacy | 7777 Bluebonnet Blvd # 100, Baton Rouge, LA 70810-1632 | 2016-10-16 |
| 1255881074 | Cvs | General Acute Care Hospital | 1512 Prospect Ave Apt D, D, San Gabriel, CA 91776-4422 | 2016-10-05 |
| 1174079701 | Cvs | Pharmacy | 3883 E. Foothill Blvd, Pasadena, CA 91107 | 2016-09-01 |
| 1114378577 | Cvs | Health Maintenance Organization | 11358 Cuttyhunk Ct, Cypress, CA 90630-5439 | 2016-06-28 |
| 1588037840 | Cvs | Health Maintenance Organization | 800 Canal St, New Orleans, LA 70112-2306 | 2015-11-09 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1730562695 | Cvs | Pharmacy | 4755 W. Rosecrans Ave, Hawthorne, CA 90505-5525 | 2015-07-09 |
| 1154736064 | Cvs | Public Health or Welfare | 7004 Youree Drive, Shreveport, LA 71005 | 2014-06-30 |
| 1154740991 | Cvs | Pharmacy | 7434 W Indian School Rd, Phoenix, AZ 85033-3138 | 2014-04-09 |
| 1770880437 | Cvs | Pharmacy | 4300 Highway 49 S, Harrisburg, NC 28075-7527 | 2011-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CVS | 642 W University Ave #152, Denton, TX 76209-0000 |
| Colorado Liquor Licenses | CVS / PHARMACY #10785 | 16920 Lincoln Avenue, Parker, CO 80134 |
| Massachusetts Corporations | CVS 1001 MA, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Virginia Business Entities | CVS 10024 VA L.L.C. | One Cvs Dr, Woonsocket, Rhode Island 02895 |
| Oklahoma Business Registrations | CVS 10102 OK, L.L.C. | One Cvs Dr, Woonsocket, RI 02895 |
| Virginia Business Entities | CVS 10117 VA L.L.C. | One Cvs Drive, Woonsocket, Rhode Island 02895 |
| Virginia Business Entities | CVS 10170 VA L.L.C. | One Cvs Dr, Woonsocket, Rhode Island 02895 |
| Oklahoma Business Registrations | CVS 10175 OK, L.L.C. | 1209 Orange St, Wilmington, DE 19801 |
| Massachusetts Corporations | CVS 10196 MA, LLC | 1 Cvs Dr., Woonsocket, RI 02895 |
| Oklahoma Business Registrations | CVS 10213 OK, L.L.C. | 1209 Orange St, Wilmington, DE 19801 |
| Street Address |
1071 S LAKE DR |
| City | LEXINGTON |
| State | SC |
| Zip Code | 29073-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912000605 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2006-09-07 |
| 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 |
| 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 | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447634910 | Health & Balance Chiropractic Clinic, LLC | Point of Service | 17 S Randolph St, A, Lexington, VA 24450-2526 | 2015-07-15 |
| 1790175438 | Hendricks Family & Cosmetic Dentistry | Point of Service | 1025 Dove Run Rd Ste 208, Lexington, KY 40502-3588 | 2015-02-03 |
| 1891131801 | Northcliff, Aclf | Point of Service | 14691 Highway 22 N, Lexington, TN 38351-4825 | 2013-05-16 |
| 1407075088 | Gentle Care Family Cosmetic Dentistry | Point of Service | 2558 Larkin Rd, Lexington, KY 40503-3205 | 2007-04-24 |
| 1235552647 | First Baptist Church of Lexington | Point of Service | 415 Barr Rd, Lexington, SC 29072-2371 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690415 | Golabsintl | Point of Service | 238 Hawkins Creek Rd, Blythewood, SC 29016-7230 | 2020-08-23 |
| 1396362414 | Gentle Sticks Mobile Phlebotomy, LLC | Point of Service | 1707 Clemmon Sanders Cir, Rock Hill, SC 29732-7647 | 2020-07-06 |
| 1912444712 | A-peel Salon and Spa LLC | Point of Service | 9003 Two Notch Rd, Suite 5, Columbia, SC 29223-5800 | 2017-01-31 |
| 1619425261 | Blessedtouch Theraputic Massage & Nutrition | Point of Service | 605 S Dargan St, Florence, SC 29506-2544 | 2016-09-13 |
| 1245684521 | Pds Home Health Care and Management | Point of Service | 109 Childrens Lane, St. Stephens, SC 29479-0109 | 2016-04-22 |
| 1679937361 | Companion Management, LLC | Point of Service | 29 Gamecock Ave Ste 101, Charleston, SC 29407-3366 | 2016-04-08 |
| 1568825404 | Eric Henry Hays | Point of Service | 243 Pinecroft Dr, Taylors, SC 29687-2216 | 2016-03-29 |
| 1386030351 | Victory Dentistry for Kids | Point of Service | 9787 Charlotte Hwy Ste 203, Indian Land, SC 29707-5511 | 2015-04-07 |
| 1467843078 | We Care Family Resource LLC | Point of Service | 513 Bayshore Dr., Fairfax, SC 29827 | 2015-02-18 |
| 1063824217 | Abundant Care Case Management LLC | Point of Service | 153 Forestview Cir, Columbia, SC 29212-2450 | 2014-05-22 |
| Find all providers with the same taxonomy | ||||
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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.