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CVS PHARMACY # 02446
NPI 1093018228
Pharmacy in Woodruff, SC

Active since December 09, 2010CLIA 42D2285087 · Waiver
820 N. MAIN ST., WOODRUFF, SC 29388(864) 476-0463 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cvs Pharmacy # 02446 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY # 02446 (NPI 1093018228) is a healthcare organization registered as a pharmacy in Woodruff, South Carolina and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Susan F Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1093018228
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTH CAROLINA CVS PHARMACY LLC
Location Address820 N. MAIN ST.Woodruff, SC 29388
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500
Phone(864) 476-0463
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector Payer Relations · (401) 770-2751
Enumeration DateDecember 9, 2010
Last NPPES UpdateFebruary 29, 2012
✔ NPI 1093018228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
820 N. MAIN ST., Woodruff, SC 29388
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Other Names 1

Doing Business AsCvs Pharmacy # 02446

Other Identifiers 4

Other4230087Ncpdp
Medicare NSC5765980044
Medicare PINP00986712
Medicare PINQ356270001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cvs Pharmacy # 02446 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20110331000484DME · PharmacyDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2285087

South Carolina CVS Pharmacy, LLC Dba CVS Pharmacy #02446 · Woodruff, SC
Active · expires Jul 5, 2027
CLIA Number42D2285087
Laboratory TypePharmacy
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorHannah Young
Laboratory Phone(864) 476-0463
Laboratory LocationSouth Carolina CVS Pharmacy, LLC Dba CVS Pharmacy #02446820 N Main Street, Woodruff, SC 29388
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
161 services160 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
127 services127 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
22 services22 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Carolina CVS Pharmacy LLC's NPI number?

The NPI number for South Carolina CVS Pharmacy LLC is 1093018228. It was assigned to this organization in the NPPES registry on December 9, 2010. The provider is doing business as CVS Pharmacy # 02446.

Where is South Carolina CVS Pharmacy LLC located?

South Carolina CVS Pharmacy LLC is located at 820 N. Main St., Woodruff, SC 29388. The listed phone number is (864) 476-0463.

What is South Carolina CVS Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Is South Carolina CVS Pharmacy LLC enrolled in Medicare?

Yes. South Carolina CVS Pharmacy LLC is registered in the Medicare PECOS enrollment system.

When is South Carolina CVS Pharmacy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (South Carolina, Pharmacy) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does South Carolina CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2285087) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Carolina CVS Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 31 other insurers list South Carolina CVS Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Carolina CVS Pharmacy LLC was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.