CVS Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CVS PHARMACY

Practice address

3312 Devine St
29205, SC 29205

Phone

(803) 748-8588

NPI assigned

Sep 13, 2012

Last updated

Sep 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Butz Bagwell, PHARMD

Title

Pharmacist

Phone

(864) 871-4323

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1194075531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 DEVINE ST",
            "city": "29205",
            "state": "SC",
            "postal_code": "29205",
            "telephone_number": "803-748-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 DEVINE ST",
            "city": "29205",
            "state": "SC",
            "postal_code": "29205",
            "telephone_number": "803-748-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BUTZ",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "864-871-4323",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.