South Carolina CVS Pharmacy LLC
NPI 1174406573ActiveOrganization· Pharmacy· Indian Land, SC
Pharmacy in Indian Land, South Carolina, registered in NPPES in July 2025. The authorized official on file is Susan F. Colbert, Sr. Director. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1174406573 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2025 |
| Last updated in NPPES | Aug 4, 2025 |
| Certified by provider | Aug 4, 2025 |
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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (SC) |
|---|
Other pharmacies in Indian Land
- 1538394671
- 1871759449