SOUTH CAROLINA CVS PHARMACY, L.L.C. (NPI# 1720182520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720182520 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #02191 |
| Practice Address |
4102 Old Buncombe Rd Greenville SC 29617-3008 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8643713651 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR PHCY ENROLLMENTS) |
| 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 | 10820 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4220707 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #02191 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386872604 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 Founders Bay Rd, Murrells Inlet, SC 29576 | 2009-06-25 |
| 1578798658 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 983 Harborview Rd, Charleston, SC 29412-4255 | 2009-05-19 |
| 1871759449 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 7697 Charlotte Hwy, Indian Land, SC 29707 | 2008-08-04 |
| 1154586063 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1504 Blue Ridge Blvd, Seneca, SC 29672-6601 | 2008-07-21 |
| 1992965263 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1002 Sams Crossing Road, Columbia, SC 29229 | 2008-06-11 |
| 1316121262 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 9625 Highway 78, Ladson, SC 29456-3913 | 2007-12-27 |
| 1366640955 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 59 George Street, Charleston, SC 29401-1422 | 2007-07-05 |
| 1811194194 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 Fetlock Drive, Myrtle Beach, SC 29588 | 2007-06-29 |
| 1720111305 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1602 Central Ave, Summerville, SC 29483-5528 | 2007-03-13 |
| 1700949328 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 900 Assembly St, Columbia, SC 29201-3938 | 2006-12-18 |
| Street Address |
4102 OLD BUNCOMBE RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29617-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629522693 | Lee Waller | Pharmacist | 4102 Old Buncombe Rd, Greenville, SC 29617-3008 | 2016-08-08 |
| 1831542679 | Courtney Batson | Pharmacist | 4102 Old Buncombe Rd, Greenville, SC 29617-3008 | 2016-07-17 |
| 1730438649 | Rani Seedhom | Pharmacist | 4102 Old Buncombe Rd, Greenville, SC 29617 | 2012-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659960 | Ruby Donald Residential Care LLC | Nursing Care | 2 Ruby Donald Place, Greenville, SC 29617 | 2020-11-02 |
| 1063938637 | Emily Mcclung Williams | Counselor | 975 Foot Hill Rd, Greenville, SC 29617 | 2017-08-16 |
| 1043734585 | Aubrey R Grinstead | Counselor | 975 Foot Hills Road, Greenville, SC 29617 | 2017-07-26 |
| 1649711243 | Xavier Bailey | Counselor | 975 Foot Hills Rd, Greenville, SC 29617 | 2017-03-15 |
| 1932459682 | Marci Halberg | Pharmacist | 4102 Old Buncombe Road, Greenville, SC 29617 | 2012-09-10 |
| 1609133461 | Tiffany Ann Prasertkul | Social Worker | 975 Foothills Road, Greenville, SC 29617 | 2012-04-18 |
| 1669534004 | A Child's Haven, Inc. | Community/Behavioral Health | 20 Martin Dr., Greenville, SC 29617 | 2006-12-14 |
| 1487755104 | John Richard Fuzia | Dentist | 534 Sulphur Springs Rd, Greenville, SC 29617 | 2006-09-26 |
| 1992341135 | Ohio Valley Physicians Inc | Family Medicine | 975 Foot Hills Rd, Greenville, SC 29617 | 2019-11-22 |
| 1699252148 | Ginger Mccleer | Nurse Practitioner | 600 Sulphur Springs Rd, Greenville, SC 29617 | 2018-07-26 |
| Find all providers in zip 29617 | ||||
| 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 |
|---|---|---|---|---|
| 1285105049 | West Pioneer LLC | Pharmacy | 9115 Wesley St Ste 4, Greenville, TX 75402-3841 | 2018-12-05 |
| 1205302254 | A & A Infusion & Specialty, LLC | Pharmacy | 423 Mcallister St, Greenville, MS 38701-4704 | 2018-10-17 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1437505880 | Physicians East Pa | Pharmacy | 1850 W Arlington Blvd Ste 100, Greenville, NC 27834-5704 | 2016-05-04 |
| 1164888038 | Addison & Partners, LLC | Pharmacy | 150 Howell Cir, 125, Greenville, SC 29615-4961 | 2016-01-08 |
| 1073917043 | St Francis Hospital Inc | Pharmacy | 104 Innovation Dr Ste 1050, Greenville, SC 29607-5253 | 2014-10-20 |
| 1639436561 | Om Rx Services LLC | Pharmacy | 5127 Wesley St, Greenville, TX 75402-6315 | 2012-04-17 |
| 1780958744 | Dogwood Pharmacy, LLC | Pharmacy | 1325 Miller Rd, Suite K, Greenville, SC 29607-6541 | 2012-03-08 |
| 1891063012 | Kelly's Pharmacy Inc. | Pharmacy | 4852 State Route 81, Greenville, NY 12083 | 2011-12-02 |
| 1235437518 | Pharmacy Innovations Inc | Pharmacy | 2221 Stantonsburg Rd, Greenville, NC 27834-2841 | 2011-03-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29617 |
Please comment or provide details below to improve the information on SOUTH CAROLINA CVS PHARMACY, L.L.C..
| 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.