Active NPI
South Carolina CVS Pharmacy LLC
Doing business as CVS Pharmacy #07016
- Pharmacy
- Pawley's Island, SC
National Provider Identifier
1568565257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 50040345
- Legal business name
- SOUTH CAROLINA CVS PHARMACY LLC
- Doing business as
- CVS Pharmacy #07016
- Practice address
- 10317 Ocean Hwy 17 South
Pawleys Island, SC 29585 - Phone
- (803) 237-4036
- NPI assigned
- Sep 7, 2006
- Last updated
- Mar 1, 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
- Susan Colbert
- Title
- Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 50040345 | SC | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
10317 Ocean Hwy 17 South
Pawleys Island, SC 29585
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4216657 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- CVS PHARMACY #07016
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 |
| O20110815000204 | SC | DME Supplier - Pharmacy | 7214130400 | Practice locations: Pawleys Island, 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 |
|---|---|---|
| South Carolina CVS Pharmacy LLC | 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.
-
- Pharmacy
- Bluffton, SC
- NPI 1538542568
-
- Community/Retail Pharmacy
- Lexington, SC
- NPI 1497109003
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
10317 Ocean Hwy
#17S
Pawleys Island, SC 29585
Phone (803) 237-4036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330560000000",
"number": "1568565257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"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": "10317 OCEAN HWY 17 SOUTH",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "29585",
"telephone_number": "803-237-4036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CAROLINA CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2012-03-01",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "SC",
"license": "50040345",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4216657",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY #07016",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pawley's Island, SC
- Shoreline Behavioral Health Service
- Joseph Siegwald, DMD
- Smith Medical Clinic
- Robert H Smith, O.D.
- Sandra Smith
- South Carolina Dental Screening Associates
- South Carolina Dental Screening Associates LLP (Classy Smiles)
- South Carolina Mobile Imaging
- South Strand Urgent Care LLC
- Southeast Maternal Medical Supply Inc (Southeast Maternal Medical & Pediatric Counseling)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.