Provider Type Icon

SOUTH CAROLINA CVS PHARMACY L.L.C. NPI 1811194194


NPI Information

NPI: 1811194194
Provider Name: SOUTH CAROLINA CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #01140

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
101 FETLOCK DRIVE
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 236-6300
Get Directions

SOUTH CAROLINA CVS PHARMACY, L.L.C. 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, L.L.C. NPI is 1811194194. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #01140.

The provider's business location address is:

101 FETLOCK DRIVE
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 236-6300
Fax: (401) 770-7108

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 6/29/2007 and was last updated on 2/8/2012.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00986712MEDICARE PIN
25765980006MEDICARE NSC
3Q356270001MEDICARE 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

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.