NPIMap

Organization Active NPI

South Carolina CVS Pharmacy LLC

Doing business as CVS Pharmacy #17932

  • Pharmacy
  • Indian Land, SC
National Provider Identifier
1174406573
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SOUTH CAROLINA CVS PHARMACY LLC
Doing business as
CVS Pharmacy #17932
Practice address
5345 Crossridge Blvd
Indian Land, SC 29707-7892
Phone
(803) 650-4472
NPI assigned
Jul 31, 2025
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Susan F Colbert
Title
Sr. Director
Phone
(401) 765-1500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

5345 Crossridge Blvd
Indian Land, SC 29707-7892

Mailing address

1 CVS Dr # 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500

Other names 1

  • CVS Pharmacy #17932 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251016001892 SC DME Supplier - Pharmacy 7214130400 Practice locations: Indian Land, SC

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
South Carolina CVS Pharmacy LLC5345 Crossridge Blvd, Indian Land, SC 29707-7892(803) 650-4472 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Ent… Does not accept assignmentParticipating since Jan 1, 2019

National Provider Directory

National Provider Directory
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.

View all 24

Member of 1

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

Locations (25 of 241)

902 W Greenwood St
Abbeville, SC 29620
Phone (864) 459-5406

902 W Greenwood St
#3543
Abbeville, SC 29620
Phone (864) 459-5406

1041 York St
#5529
Aiken, SC 29801
Phone (803) 649-0521

1614 Richland Ave W
Aiken, SC 29801
Phone (803) 648-3203

1638 Richland Ave W
Aiken, SC 29801
Phone (803) 648-3203

1638 Richland Ave W
#4523
Aiken, SC 29801
Phone (803) 648-3320

2062 Whiskey Rd
#4295
Aiken, SC 29803
Phone (803) 648-2339

109 Highway 28 Byp
#3541
Anderson, SC 29624
Phone (864) 296-9734

2814 N Main St
Anderson, SC 29621
Phone (864) 224-3562

2814 N Main St
#4111
Anderson, SC 29621
Phone (864) 224-3823

3519 Clemson Blvd
Anderson, SC 29621
Phone (864) 224-3972

922 Highway 28 Byp
#3846
Anderson, SC 29624
Phone (864) 224-7469

415 E Brooks Rd
#7697
Andrews, SC 29510
Phone (843) 264-3045

9912 Dunbarton Blvd
#7508
Barnwell, SC 29812
Phone (803) 259-3649

120 W Columbia Ave
#3578
Batesburg, SC 29006
Phone (803) 532-5564

4295 Jefferson Davis Hwy
#4388
Beech Island, SC 29842
Phone (803) 593-5196

222 S Main St
#5536
Belton, SC 29627
Phone (864) 338-6996

523 S Main St
#7598
Bishopville, SC 29010
Phone (803) 484-5484

1006 Fording Island Rd
#4489
Bluffton, SC 29910
Phone (843) 815-2801

1888 Boiling Springs Rd
#7567
Boiling Springs, SC 29316
Phone (864) 599-0920

2500 Broad St
Camden, SC 29020
Phone (803) 432-5103

2500 Broad St
#4281
Camden, SC 29020
Phone (803) 432-5103

2410 Charleston Hwy
#3876
Cayce, SC 29033
Phone (803) 796-2586

500 Knox Abbott Dr
#4628
Cayce, SC 29033
Phone (803) 796-3116

1015 King St
Charleston, SC 29403
Phone (803) 723-9481

Practitioners & affiliated clinicians

Practitioners 149

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.

View all 149

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1174406573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR # 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": "5345 CROSSRIDGE BLVD",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077892",
            "telephone_number": "803-650-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #17932",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS Pharmacy #17932",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.