NPIMap

Organization Active NPI

Caresouth Carolina Inc

  • Community/Retail Pharmacy
  • Cheraw, SC
National Provider Identifier
1730614587
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17115 Issued in SC
Legal business name
CARESOUTH CAROLINA INC
Practice address
812 State Rd
Cheraw, SC 29520-2130
Phone
(843) 865-4080
Fax
(843) 865-4085
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Ann Lewis
Title
Ceo
Phone
(843) 865-4080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 17115 SC Primary

Addresses

Primary practice location

812 State Rd
Cheraw, SC 29520-2130

Mailing address

812 State Rd
Cheraw, SC 29520-2130
Phone (843) 865-4080

Other identifiers 2

IdentifierTypeStateIssuer
2168963OtherPK
717115MedicaidSC

Other names 1

  • CSC Community Pharmacy-Cheraw Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caresouth Carolina Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

715 S Doctors Dr
Cheraw, SC 29520

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1730614587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 STATE RD",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202130",
            "telephone_number": "843-865-4080",
            "fax_number": "843-865-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 STATE RD",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202130",
            "telephone_number": "843-865-4080",
            "fax_number": "843-865-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH CAROLINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-865-4080"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "17115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168963",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717115",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSC Community Pharmacy-Cheraw",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheraw, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.