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SOUTH CAROLINA CVS PHARMACY LLC NPI 1245252998


NPI Information

NPI: 1245252998
Provider Name: SOUTH CAROLINA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #16825

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 42D2218275

Address:
450 AZALEA SQUARE BLVD
SUMMERVILLE, SC
ZIP 29483
Phone: (843) 871-6935
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SOUTH CAROLINA CVS PHARMACY LLC is a pharmacy in Summerville, SC. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SOUTH CAROLINA CVS PHARMACY LLC NPI is 1245252998. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #16825.

The provider's business location address is:

450 AZALEA SQUARE BLVD
SUMMERVILLE, SC
ZIP 29483-321
Phone: (843) 871-6935
Fax: (843) 486-7049

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Director, Payer Relations and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 42D2218275 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 11/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail Pharmacy50007044SOUTH CAROLINANo
3333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12092281OTHERPK
2770440MEDICAIDSOUTH CAROLINA
30640710925MEDICARE NSC
45765980212MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.