Organization Active NPI

CVS Pharmacy

  • Health Maintenance Organization
  • Mt Pleasant, SC
National Provider Identifier
1669720215
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
203649684 Issued in SC
Legal business name
CVS PHARMACY
Practice address
2884 N Highway 17
Mt Pleasant, SC 29466-8915
Phone
(843) 216-7028
NPI assigned
Aug 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Dusty Mark Brownlee, PHARMD
Title
Pharmacist in Charge
Phone
(843) 216-7021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 203649684 SC Primary

Addresses

Primary practice location

2884 N Highway 17
Mt Pleasant, SC 29466-8915

Mailing address

2884 N Highway 17
Mt Pleasant, SC 29466-8915
Phone (843) 216-7028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1669720215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 N HIGHWAY 17",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668915",
            "telephone_number": "843-216-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 N HIGHWAY 17",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668915",
            "telephone_number": "843-216-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "BROWNLEE",
        "authorized_official_first_name": "DUSTY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "843-216-7021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "SC",
            "license": "203649684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.