South Carolina CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

5004202 Issued in SC

Legal business name

SOUTH CAROLINA CVS PHARMACY LLC

Practice address

109 Highway 28 Byp
Anderson, SC 29624-3743

Phone

(864) 296-9734

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY #03541 Doing business as

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

South Carolina CVS Pharmacy LLC180 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Lexington, SC
  • NPI 1043509045
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Pageland, SC
  • NPI 1053414722
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Anderson, SC
  • NPI 1063434702
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Simpsonville, SC
  • NPI 1063434710
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Lancaster, SC
  • NPI 1063515740
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Cayce, SC
  • NPI 1073616413
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Honea Path, SC
  • NPI 1073616751
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Greenville, SC
  • NPI 1083717763
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Woodruff, SC
  • NPI 1093018228
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Greer, SC
  • NPI 1104929975
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Orangeburg, SC
  • NPI 1124121611
  NPD tax ID
• South Carolina CVS Pharmacy LLC

  • Pharmacy
  • Simpsonville, SC
  • NPI 1124121991
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations (25 of 305)

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Andrew Barry, RPH

  • Pharmacist
  • Goose Creek, SC
  • NPI 1124376090
  NPD (past)
• Roger A. Bechtol, RPH

  • Pharmacist
  • Goose Creek, SC
  • NPI 1932457728
  NPD (past)
• Cody Berkeley, PHARMD

  • Pharmacist
  • Columbia, SC
  • NPI 1598249955
  NPD (past)
• Jamie Pelfrey Burnett, PHARMD

  • Pharmacist
  • Lexington, SC
  • NPI 1780932673
  NPD (past)
• Jean Carlisle, PHARMD

  • Pharmacist
  • West Columbia, SC
  • NPI 1093059487
  NPD (past)
• Sara Patricia Cheatham, PHARMD

  • Pharmacist
  • West Columbia, SC
  • NPI 1477801231
  NPD (past)
• Chih Tien Chuang, PHARM.D.

  • Pharmacist
  • Goose Creek, SC
  • NPI 1144605049
  NPD (past)
• Jason Conrad, PHARM. D.

  • Pharmacist
  • West Columbia, SC
  • NPI 1447704697
  NPD (past)
• James Self Corley III

  • Pharmacist
  • Greenwood, SC
  • NPI 1538419080
  NPD (past)
• Adena Deholczer

  • Pharmacist
  • Columbia, SC
  • NPI 1790034437
  NPD (past)
• Andrew M Ferrillo, RPH

  • Pharmacist
  • North Charleston, SC
  • NPI 1760820468
  NPD (past)
• Mark Richard Garvey, PHARMD

  • Pharmacist
  • Goose Creek, SC
  • NPI 1063812147
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1114020971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HIGHWAY 28 BYP",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296243743",
            "telephone_number": "864-296-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "5004202",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4200806",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #03541",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lashaunda Carole Soto
• Alyssa Sotomayor, MS, LAT, ATC
• Soulwork SC LLC
• South Atlantic Hearing LLC
• South Carolina CVS Pharmacy LLC
• South Carolina CVS Pharmacy LLC
• South Carolina CVS Pharmacy LLC
• South Carolina CVS Pharmacy LLC
• South Carolina Dept of Mental Health
• South Carolina Dept of Mental Health Accounting Office

• Pharmacy in Anderson, SC
• Providers in Anderson, SC by specialty
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.