SOUTH CAROLINA CVS PHARMACY LLC (NPI# 1578666343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578666343 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #03888 |
| Practice Address |
200 N Highway 25 Travelers Rest SC 29690-2300 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8648347269 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-01 |
| 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 | 5004237 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4209056 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03888 | 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 |
200 N HIGHWAY 25 |
| City | TRAVELERS REST |
| State | SC |
| Zip Code | 29690-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011382 | Nghia Trong Nguyen | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2005-08-23 |
| 1922617927 | Caitlin Dawn Styles | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2020-07-24 |
| 1427619030 | Hannah Moore Blume | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2019-06-25 |
| 1164874921 | Stacey Dilworth | Nurse Practitioner | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2016-07-05 |
| 1063897585 | Brandy Diane Macdonald | Nurse Practitioner | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2015-07-26 |
| 1689000440 | Shonna Lynn Meyer | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2013-09-24 |
| 1235477894 | Kelley N Smith | Nurse Practitioner | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2013-01-16 |
| 1609125723 | Hayley M Harris | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2012-09-05 |
| 1093064305 | Joanne Schumacher | Pharmacist | 200 N Highway 25, Travelers Rest, SC 29690-2300 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063709 | Act Medical Transport Services LLC | Private Vehicle | 316 Poplar St Ext, Travelers Rest, SC 29690 | 2020-11-04 |
| 1881180297 | Tonya Cheeks | Home Health Aide | 20 S Poinsett Hwy Ste C, Travelers Rest, SC 29690 | 2018-07-09 |
| 1811391683 | Dialysis Newco, Inc | Clinic/Center | 36 South Main Street, Travelers Rest, SC 29690 | 2014-10-22 |
| 1356762835 | Maura Smith | Pharmacist | 1500 Seer Highway Ingles Pharmacy, Travelers Rest, SC 29690 | 2013-12-30 |
| 1174873400 | Regena Leeann Morgan | Pharmacist | 200 Hwy 25 North, Travelers Rest, SC 29690 | 2012-09-13 |
| 1316187040 | William Matthew Fisher | Psychiatry & Neurology | One Havenwood Lane, Travelers Rest, SC 29690 | 2009-02-20 |
| 1437303625 | Deborah Ann Arnold | Speech-Language Pathologist | 130 Echo Lane, Travelers Rest, SC 29690 | 2008-11-14 |
| 1124299375 | Preserve Health, Pa | Family Medicine | 135 Botanical Circle, Travelers Rest, SC 29690 | 2008-03-17 |
| 1962627372 | Mcleskey Todd Pharmacy of Travelers Rest, Inc | Durable Medical Equipment & Medical Supplies | 32 South Main St, Travelers Rest, SC 29690 | 2007-04-13 |
| 1730231408 | Jon Michael Julian | Dentist | 125 Botanical Circle, Travelers Rest, SC 29690 | 2007-01-16 |
| Find all providers in zip 29690 | ||||
| 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 |
|---|---|---|---|---|
| 1982839551 | New Horizon Family Health Services Inc | Pharmacy | 1588 Geer Hwy, Travelers Rest, SC 29690-9204 | 2009-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144840026 | Salubrius Pharmacy, LLC | Pharmacy | 120 Clair Dr, Powdersville, SC 29673-7771 | 2020-04-21 |
| 1073146502 | Greenville Health Corporation | Pharmacy | 115 N Sumter St Ste 220, Sumter, SC 29150-4972 | 2020-02-12 |
| 1043858996 | M Holdings LLC | Pharmacy | 808 Highway 378 Ste A, Lexington, SC 29072-8379 | 2019-12-11 |
| 1033760483 | Eau Claire Cooperative Health Center, Inc. | Pharmacy | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2019-09-26 |
| 1467002816 | Black River Pharmacy LLC | Pharmacy | 32a N Williamsburg County Hwy, Kingstree, SC 29556-2433 | 2019-09-18 |
| 1548821457 | Dipti H Patel | Pharmacy | 636 Chartwell Dr, Greer, SC 29650-4787 | 2019-06-23 |
| 1972163350 | Genesis Health Care, Inc | Pharmacy | 211 S Jones Rd Ste A, Olanta, SC 29114-9705 | 2019-06-18 |
| 1013571314 | Publix Super Markets, Inc. | Pharmacy | 730 Hopewell Drive, Charleston-berkeley, SC 29492-7102 | 2019-04-23 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
| Find all providers with the same taxonomy | ||||
| City | TRAVELERS REST |
| Zip Code | 29690 |
Please comment or provide details below to improve the information on SOUTH CAROLINA CVS PHARMACY LLC.
| 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.