South Carolina CVS Pharmacy LLC
NPI 1174175038ActiveOrganization· Pharmacy· Mount Pleasant, SC
Pharmacy in Mount Pleasant, South Carolina, registered in NPPES in July 2019. The authorized official on file is Susan F. Colbert, Sr. Director. Medicare paid $99,359 for services to 409 patients in 2024.
Overview
| NPI | 1174175038 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 11, 2019 |
| Last updated in NPPES | Oct 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 409 |
|---|---|
| Services billed | 1,278 across 13 procedure codes |
| Paid by Medicare | $99,359 |
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