South Carolina CVS Pharmacy LLC
NPI 1871767566ActiveOrganization· Pharmacy· Simpsonville, SC
Pharmacy in Simpsonville, South Carolina, registered in NPPES in April 2008. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $77,907 for services to 335 patients in 2024.
Overview
| NPI | 1871767566 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2008 |
| Last updated in NPPES | Nov 15, 2011 |
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); Part B Supplier - Mass Immunization (Roster Biller Only) (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 335 |
|---|---|
| Services billed | 1,010 across 12 procedure codes |
| Paid by Medicare | $77,907 |
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