SOUTH CAROLINA CVS PHARMACY, L.L.C. (NPI# 1851495667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851495667 |
| Entity Type | Organization |
| Organization Name | SOUTH CAROLINA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #07061 |
| Practice Address |
5895 Reidville Rd Moore SC 29369-9758 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8644866990 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| 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 | 10786 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4225202 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #07061 | 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 |
5895 REIDVILLE RD |
| City | MOORE |
| State | SC |
| Zip Code | 29369-9758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405111 | Megan Cassidy | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2020-10-19 |
| 1639725278 | Courtney Paige Neuder | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2019-08-09 |
| 1447737895 | Blake Lanier Hawkins | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2018-07-27 |
| 1215458195 | Jessica Marie Still | Nurse Practitioner | 5895 Reidville Rd, Moore, SC 29369-8409 | 2017-06-30 |
| 1174990022 | Jordan Thomas Dunning | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2015-08-26 |
| 1073932646 | Heather Putnam Oliver | Nurse Practitioner | 5895 Reidville Rd, Moore, SC 29369-8409 | 2014-04-10 |
| 1023353273 | Lauren Gerlach | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2012-11-29 |
| 1164770970 | June Annette Vassey | Nurse Practitioner | 5895 Reidville Rd, Moore, SC 29369-8409 | 2012-08-28 |
| 1235487117 | Clarence Eugene Schiltz IIi | Pharmacist | 5895 Reidville Rd, Moore, SC 29369-8409 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699241695 | Frederick Lee Hill | Psychologist | 612 Willowtree Way, Lyman, SC 29369 | 2018-10-17 |
| 1548626534 | Derek Edward Stewart | Social Worker | 443 Rexford Drive, Moore, SC 29369 | 2016-01-07 |
| 1477849933 | Christie Rogers-larke | Counselor | 104 Ross Common Run, Moore, SC 29369 | 2011-06-23 |
| 1447563689 | Terry Chet Borkowski | Occupational Therapist | 130 Antrim Avenue, Moore, SC 29369 | 2010-07-16 |
| 1639227309 | Carlie Arthur Testerman | Registered Nurse | 130 Emily Drive, Moore, SC 29369 | 2007-01-08 |
| 1962482976 | Westview-fairforest Fire Department | Ambulance | 4247 Anderson Mill Rd, Moore, SC 29369 | 2006-01-18 |
| 1144690686 | Robin Finley | Marriage & Family Therapist | 122 Middleton Park Ln, Moore, SC 29369-7800 | 2015-09-27 |
| 1043854789 | Benchmark Healthcare Service LLC | Occupational Therapist | 5844 Reidville Rd Ste F, Moore, SC 29369-8301 | 2019-11-06 |
| 1275745929 | Steven P Brown Lisw P.a. | Social Worker | 309 English Ivy Ct # 8801, Moore, SC 29369-8801 | 2007-05-04 |
| 1679851539 | Akash Garg | Chiropractor | 144 Darmondale Dr, Moore, SC 29369-8818 | 2011-07-26 |
| Find all providers in zip 29369 | ||||
| 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 |
|---|---|---|---|---|
| 1104116508 | Carters Drug Inc | Pharmacy | 1400 Se 4th St, Suite H, Moore, OK 73160 | 2011-04-19 |
| 1487704706 | Debbie Jo Lewis | Pharmacy | 322 N Service Rd, Moore, OK 73160-4945 | 2007-01-11 |
| 1851306476 | Moore Med Cntr Clinic Phcy | Pharmacy | 700 S Telephone Rd, Moore, OK 73160-2502 | 2006-07-30 |
| 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 | ||||
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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.