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CVS PHARMACY #04156
NPI 1295838050
Pharmacy in Columbia, SC

Active since September 07, 2006CLIA Certified · 2 labs
100 OUTLET POINTE BLVD, COLUMBIA, SC 29210(803) 772-0403 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy #04156 NPPES

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

CVS PHARMACY #04156 (NPI 1295838050) is a healthcare organization registered as a pharmacy in Columbia, South Carolina and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1295838050
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTH CAROLINA CVS PHARMACY LLC
Location Address100 OUTLET POINTE BLVDColumbia, SC 29210-5669
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(803) 772-0403
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateDecember 6, 2011
✔ NPI 1295838050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in SC · 5004134
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
100 OUTLET POINTE BLVD, Columbia, SC 29210
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Other Names 1

Doing Business AsCvs Pharmacy #04156

Other Identifiers 3

Medicare NSC5765980066
Medicare PINQ356270001
Other4201517Other Id Number-commercial Number

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 Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 42D2282343

South Carolina CVS Pharmacy, LLC Dba Cvs/Pharmacy #04156 · Columbia, SC
Active · expires May 18, 2027
CLIA Number42D2282343
Laboratory TypePharmacy
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorMr. Walter Mckinney
Laboratory Phone(803) 772-0403
Laboratory LocationSouth Carolina CVS Pharmacy, LLC Dba Cvs/Pharmacy #04156100 Outlet Point Road, Columbia, SC 29210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2285101

South Carolina CVS Pharmacy, LLC Dba Cvspharmacy #03849 · Columbia, SC
Active · expires Jul 5, 2027
CLIA Number42D2285101
Laboratory TypePharmacy
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorJacqueline Porterfield
Laboratory Phone(803) 612-2841
Laboratory LocationSouth Carolina CVS Pharmacy, LLC Dba Cvspharmacy #038493055 Broad River Road, Columbia, SC 29210
CLIA data matches this NPI record on: Name
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.
260 services255 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.
172 services172 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.
74 services74 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.
31 services31 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.
29 services29 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #04156 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #04156

DMEPOS supplier · Columbia, SCOperated by South Carolina CVS Pharmacy LLC
⋮

Does not accept Medicare assignment

CVS Pharmacy #04156 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20429189
Medicare Participant SinceJanuary 1, 2019
Supplier Location100 Outlet Pointe BlvdColumbia, SC 29210
Phone(803) 772-0403
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. COURTNEY LYNN ASHLEY
Pharmacist
100 OUTLET POINTE BLVD
COLUMBIA, SC 29210
Richland County (803) 772-0403
JORDAN HICKS
Pharmacy
100 OUTLET POINTE BLVD
COLUMBIA, SC 29210
Richland County (803) 772-0403
BAILEY ALANE MILLS PHARMD
Pharmacist
100 OUTLET POINTE BLVD
COLUMBIA, SC 29210
Richland County (803) 772-0403
DR. CAITLIN MARIE DREHER PHARMD.
Pharmacist
100 OUTLET POINTE BLVD
COLUMBIA, SC 29210
Richland County (803) 772-0403

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 1295838050. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy #04156.

Where is South Carolina CVS Pharmacy LLC located?

South Carolina CVS Pharmacy LLC is located at 100 Outlet Pointe Blvd, Columbia, SC 29210. The listed phone number is (803) 772-0403.

What is South Carolina CVS Pharmacy LLC's specialty?

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

Does South Carolina CVS Pharmacy LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, CVS Pharmacy #04156 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does South Carolina CVS Pharmacy LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 Arizona Complete Health and 33 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 December 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.