NPIMap

Organization Active NPI

CVS Pharmacy

  • Pharmacist
  • Santee, SC
National Provider Identifier
1629312111
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7613 Issued in SC
Legal business name
CVS PHARMACY
Practice address
240 Planters Trace Rd
Santee, SC 29142
Phone
(803) 854-2417
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Yvette B BullNPI 1124577796
Title
Pharmacist
Phone
(803) 854-2417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7613 SC Primary

Addresses

Primary practice location

240 Planters Trace Rd
Santee, SC 29142

Mailing address

240 Planters Trace Rd
Santee, SC 29142-9274
Phone (803) 854-2417

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1629312111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PLANTERS TRACE RD",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "291429274",
            "telephone_number": "803-854-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PLANTERS TRACE RD",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "29142",
            "telephone_number": "803-854-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "BULL",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "803-854-2417"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "7613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.