South Carolina CVS Pharmacy LLC
NPI 1619074119ActiveOrganization· Pharmacy· Loris, SC
Pharmacy in Loris, South Carolina, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $45,164 for services to 200 patients in 2024.
Overview
| NPI | 1619074119 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Jan 10, 2023 |
| Certified by provider | Jan 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 50008847 | SC |
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 | 200 |
|---|---|
| Services billed | 598 across 10 procedure codes |
| Paid by Medicare | $45,164 |
Other Pharmacy providers in Loris
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- 1902597453
- 1700881943