NPIMap

Organization Active NPI

CVS

  • Pharmacist
  • Myrtle Beach, SC
National Provider Identifier
1497297758
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36915 Issued in SC
Legal business name
CVS
Practice address
512 S Kings Hwy
Myrtle Beach, SC 29577-4409
Phone
(843) 448-1684
NPI assigned
Nov 17, 2016
Last updated
Nov 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Daisy Reeves, PHARMDNPI 1609395797
Title
Pharmacist
Phone
(316) 554-4347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36915 SC Primary

Addresses

Primary practice location

512 S Kings Hwy
Myrtle Beach, SC 29577-4409

Mailing address

145 Palladium Dr
Surfside Beach, SC 29575-4780
Phone (316) 554-4347

National Provider Directory

National Provider Directory

Locations

512 S Kings Hwy
Myrtle Beach, SC 29577
Phone (843) 448-1684

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.

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1497297758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PALLADIUM DR",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754780",
            "telephone_number": "316-554-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295774409",
            "telephone_number": "843-448-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "316-554-4347",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "36915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.