South Carolina Cvs Pharmacy LLC
Pharmacy in Spartanburg, SC. Organization (NPI-2).
NPI number1477656239
StatusActive
Last updated in NPPESFeb 8, 2012
Details
- NPI
- 1477656239
- Entity type
- Organization (NPI-2)
- Legal business name
- South Carolina Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Feb 8, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 50004702 | SC | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy #03586 (Doing Business As)
Practice location
2397 Reidville Rd Ste 2Spartanburg, SC 29301-3651
Phone 864-576-9268
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Director, Payer Relations
4017702751
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Pharmacy providers in Spartanburg · All 4,348 providers in Spartanburg
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