South Carolina CVS Pharmacy LLC
NPI 1902900707ActiveOrganization· Pharmacy· Easley, SC
Pharmacy in Easley, South Carolina, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Exec Dir, Rx Services. Medicare paid $61,224 for services to 299 patients in 2024.
Overview
| NPI | 1902900707 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Jan 12, 2023 |
| Certified by provider | Jan 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 50004320 | SC |
| 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 | 299 |
|---|---|
| Services billed | 844 across 12 procedure codes |
| Paid by Medicare | $61,224 |
Other Pharmacy providers in Easley
- 1437806338
- 1902880644
- 1932202702
- 1346230216
- 1649467374