CVS PHARMACY #04204
NPI 1861595639
Pharmacy in Summerville, SC

Active since September 07, 2006
301 N MAIN ST, SUMMERVILLE, SC 29483(843) 871-0310 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy #04204 NPPES

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

CVS PHARMACY #04204 (NPI 1861595639) is a healthcare organization registered as a pharmacy in Summerville, South Carolina and active in the NPI registry since September 2006. The organization lists Susan F Colbert, Exec Dir, Rx Services, as its authorized official.

NPPES Registry Identity

NPI1861595639
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTH CAROLINA CVS PHARMACY LLC
Location Address301 N MAIN STSummerville, SC 29483-6417
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Organization SubpartNo
Authorized OfficialSusan F ColbertExec Dir, Rx Services · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
NPI 1861595639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in SC · 5004372
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
301 N MAIN ST, Summerville, SC 29483

Other Names 1

Doing Business AsCvs Pharmacy #04204

Other Identifiers 1

Other4201923Other Id Number-commercial Number

Accepted Insurance

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034
This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.
1,079 services124 patients
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.
756 services749 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.
654 services652 patients
Fee covid-19 vac 14 res 0134A
The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.
323 services323 patients
Adm sarscov2 50mcg/0.25mlbst 0064A
This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.
267 services267 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
64 services64 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20429711
Accepts Medicare Assignment
NO
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location NPPES 14

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

Pharmacist
301 N MAIN ST
SUMMERVILLE, SC 29483
Pharmacist
301 N MAIN ST
SUMMERVILLE, SC 29483
Pharmacist
301 N MAIN ST
SUMMERVILLE, SC 29483
Pharmacist
301 N MAIN ST
SUMMERVILLE, SC 29483
Nurse Practitioner (Family)
301 N MAIN ST
SUMMERVILLE, SC 29483
Pharmacist
301 N MAIN ST
SUMMERVILLE, SC 29483
Pharmacist
301 N MAIN ST
SUMMERVILLE, SC 29483
Nurse Practitioner (Family)
301 N MAIN ST
SUMMERVILLE, SC 29483

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861595639, enumerated as an "organization" on September 07, 2006.

The provider is located at 301 N MAIN ST SUMMERVILLE, SC 29483 and the phone number is (843) 871-0310.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.