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CVS PHARMACY #05515
NPI 1972606648
Pharmacy in Surfside Beach, SC

Active since September 07, 2006
601 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575(803) 238-5628(843) 232-0320 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 #05515 NPPES

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

CVS PHARMACY #05515 (NPI 1972606648) is a healthcare organization registered as a pharmacy in Surfside Beach, South Carolina and active in the NPI registry since September 2006. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1972606648
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTH CAROLINA CVS PHARMACY LLC
Location Address601 HIGHWAY 17 NSurfside Beach, SC 29575-6024
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(803) 238-5628
Fax(843) 232-0320
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateFebruary 8, 2012
✔ NPI 1972606648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in SC · 50004305
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
601 HIGHWAY 17 N, Surfside Beach, SC 29575
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Other Names 1

Doing Business AsCvs Pharmacy #05515

Other Identifiers 4

Other4209905Other Id Number-commercial Number
Medicare PINQ356270001
Medicare NSC5765980125
Medicare PINP00986712

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 ›

Areas of Expertise CMS Part B claims 6

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.
738 services736 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.
482 services482 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.
213 services213 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.
77 services77 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.
75 services75 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.
11 services11 patients

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. KATHERINE MARIE RADZEVICK PHARMD
Pharmacist
601 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5628
MR. JEFF W HINES RPH
Pharmacist
601 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5628
JENNIFER T AVESON RPH
Pharmacist
601 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5628
DR. AUTUMN TAMI PHARMD
Pharmacist
601 HIGHWAY 17 N
SURFSIDE BEACH, SC 29575
Horry County (843) 238-5628

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 1972606648. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy #05515.

Where is South Carolina CVS Pharmacy LLC located?

South Carolina CVS Pharmacy LLC is located at 601 Highway 17 N, Surfside Beach, SC 29575. The listed phone number is (803) 238-5628.

What is South Carolina CVS Pharmacy LLC's specialty?

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

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.