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CVS PHARMACY #05596
NPI 1356444038
Pharmacy in Columbia, SC

Active since September 07, 2006CLIA 42D2282327 · Waiver
4627 MAIN ST, COLUMBIA, SC 29203(803) 786-1106 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy #05596 NPPES

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

CVS PHARMACY #05596 (NPI 1356444038) is a healthcare organization registered as a pharmacy in Columbia, South Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1356444038
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTH CAROLINA CVS PHARMACY LLC
Location Address4627 MAIN STColumbia, SC 29203-5980
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(803) 786-1106
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateFebruary 8, 2012
✔ NPI 1356444038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in SC · 50004535
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
4627 MAIN ST, Columbia, SC 29203
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Other Names 1

Doing Business AsCvs Pharmacy #05596

Other Identifiers 4

Medicare NSC5765980091
Medicare PINP00986712
Medicare PINQ356270001
Other4212849Other 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

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 42D2282327

South Carolina CVS Pharmacy, LLC Dba Cvs/Pharmacy #05596 · Columbia, SC
Active · expires May 18, 2027
CLIA Number42D2282327
Laboratory TypePharmacy
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorMr. Isaiah Cooks
Laboratory Phone(803) 786-1106
Laboratory LocationSouth Carolina CVS Pharmacy, LLC Dba Cvs/Pharmacy #055964627 North Main Street, Columbia, SC 29203
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
107 services104 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.
50 services50 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.
46 services46 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.
12 services12 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 1356444038. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy #05596.

Where is South Carolina CVS Pharmacy LLC located?

South Carolina CVS Pharmacy LLC is located at 4627 Main St, Columbia, SC 29203. The listed phone number is (803) 786-1106.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2282327) is associated with this NPI, valid through May 18, 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 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 February 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.