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SOUTH CAROLINA CVS PHARMACY LLC NPI 1508969270


NPI Information

NPI: 1508969270
Provider Name: SOUTH CAROLINA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #05516

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1303 38TH AVE N
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 448-4437
Get Directions

SOUTH CAROLINA CVS PHARMACY LLC is a pharmacy in Myrtle Beach, 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 1508969270. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #05516.

The provider's business location address is:

1303 38TH AVE N
MYRTLE BEACH, SC
ZIP 29577-315
Phone: (843) 448-4437

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

The enumeration date for this NPI number is 9/7/2006 and was last updated on 7/9/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy5004265SOUTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15765980124MEDICARE NSC
21508969270MEDICAIDNORTH CAROLINA
3Q356270001MEDICARE PIN
44210061OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5P00986712MEDICARE PIN

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: 4/28/2024

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