NPIMap

Organization Active NPI

CVS Caremark

  • Community/Retail Pharmacy
  • North Myrtle Beach, SC
National Provider Identifier
1750835195
Registry record updated Aug 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
36537 Issued in SC
Legal business name
CVS CAREMARK
Practice address
4401 Highway 17 S
North Myrtle Beach, SC 29582-5254
Phone
(843) 272-8884
NPI assigned
Aug 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2016

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

Authorized official

Name
Crystal Donjon
Title
Supervisor
Phone
(843) 626-3951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 36537 SC Primary

Addresses

Primary practice location

4401 Highway 17 S
North Myrtle Beach, SC 29582-5254

Mailing address

4401 Highway 17 S
North Myrtle Beach, SC 29582-5254

National Provider Directory

National Provider Directory
Tax ID family
CVS63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

4401 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-8884

NPI Registry JSON

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471046400000",
    "number": "1750835195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 HIGHWAY 17 S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295825254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HIGHWAY 17 S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295825254",
            "telephone_number": "843-272-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS CAREMARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-13",
        "last_updated": "2016-08-13",
        "status": "A",
        "authorized_official_last_name": "DONJON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "843-626-3951"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "36537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.