Active NPI
South Carolina CVS Pharmacy LLC
Doing business as Cvs Pharmacy #11450
- Pharmacy
- Rock Hill, SC
National Provider Identifier
1376127167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- SOUTH CAROLINA CVS PHARMACY LLC
- Doing business as
- Cvs Pharmacy #11450
- Practice address
- 2870 Cherry Road
Rock Hill, SC 29730-0001 - Phone
- (803) 203-6215
- Fax
- (803) 832-1801
- NPI assigned
- May 8, 2021
- Last updated
- Jun 24, 2021
- 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
- Susan F Colbert
- Title
- Sr Director Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
2870 Cherry Road
Rock Hill, SC 29730-0001
Mailing address
1 CVS Drive
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- Cvs Pharmacy #11450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101021000051 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214130400 | This NPI is an additional NPI on the enrollment |
| O20210909000530 | SC | DME Supplier - Pharmacy | 7214130400 | Practice locations: Rock Hill, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #11450 | Immunosuppressive Drugs|Infusion 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|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- South Carolina CVS Pharmacy LLC
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.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
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.
-
- Pharmacist
- Rock Hill, SC
- NPI 1134753544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624492800000",
"number": "1376127167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DRIVE",
"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": "2870 CHERRY ROAD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297300001",
"telephone_number": "803-203-6215",
"fax_number": "803-832-1801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CAROLINA CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-08",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "SR DIRECTOR PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"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 #11450",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cvs Pharmacy #11450",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rock Hill, SC
- Margav Soni
- Prachi Shridhar Sontakke, DMD
- Brenda Lee Sorrells, CO
- Karina Soto, LPN
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #03809)
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #16710)
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #04288)
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #05679)
- South Carolina Dept of Mental Health Accounting Office (Synergy Health & Wellness at Catawba CMHC)
- South Carolina Dept of Mental Health Accounting Office (Catawba Mental Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.