NPIMap

Organization Active NPI

CVS Pharmacy

  • Pharmacy
  • Hilton Head Island, SC
National Provider Identifier
1093116394
Registry record updated Sep 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
35733 Issued in SC
Legal business name
CVS PHARMACY
Practice address
10 Pope Ave
Hilton Head Island, SC 29928-4719
Phone
(843) 785-7786
NPI assigned
Sep 6, 2014
Last updated
Sep 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shanterrica Cherelle LuckettNPI 1821493933
Title
Pharmacist
Phone
(912) 247-6784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 35733 SC Primary

Addresses

Primary practice location

10 Pope Ave
Hilton Head Island, SC 29928-4719

Mailing address

218 Alfred St
Savannah, GA 31408-3206
Phone (912) 247-6784

National Provider Directory

National Provider Directory
Tax ID family
CVS Caremark63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409961600000",
    "number": "1093116394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ALFRED ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314083206",
            "telephone_number": "912-247-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 POPE AVE",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284719",
            "telephone_number": "843-785-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-06",
        "last_updated": "2014-09-06",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "SHANTERRICA",
        "authorized_official_middle_name": "CHERELLE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "912-247-6784",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "35733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.