South Carolina CVS Pharmacy LLC
NPI 1710590278ActiveOrganization· Pharmacy· Fort Mill, SD
Pharmacy in Fort Mill, South Dakota, registered in NPPES in August 2020. The authorized official on file is Susan F. Colbert, Sr Director Payer Relations. Medicare paid $83,787 for services to 334 patients in 2024.
Overview
| NPI | 1710590278 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2020 |
| Last updated in NPPES | Aug 25, 2020 |
| Certified by provider | Aug 21, 2020 |
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 | 334 |
|---|---|
| Services billed | 1,060 across 9 procedure codes |
| Paid by Medicare | $83,787 |