Active NPI
CVS
- Pharmacist
- Charleston, SC
National Provider Identifier
1205185584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12068
- Legal business name
- CVS
- Practice address
- 983 Harbor View Rd
Charleston, SC 29412-4255 - Phone
- (843) 795-3216
- NPI assigned
- Sep 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Ciborosky
- Title
- Pharmacist
- Phone
- (843) 597-8118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12068 | SC | Primary |
Addresses
Primary practice location
983 Harbor View Rd
Charleston, SC 29412-4255
Mailing address
983 Harbor View Rd
Charleston, SC 29412-4255
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346630400000",
"number": "1205185584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "983 HARBOR VIEW RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294124255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "983 HARBOR VIEW RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294124255",
"telephone_number": "843-795-3216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-03",
"last_updated": "2012-09-03",
"status": "A",
"authorized_official_last_name": "CIBOROSKY",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "843-597-8118"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "SC",
"license": "12068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.