CVS PHARMACY INC (NPI# 1003360983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003360983 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY INC |
| Other Organization Name | CVS PHARMACY #10448 |
| Practice Address |
801 N Canal St Carlsbad NM 88220-5107 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5759410250 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICAID (DME) | 27632067 | 01 |
| NCPDP | 3213268 | 01 | |
| NM | 55927777 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #10448 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881217560 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4000 W Spring Creek Pkwy, Plano, TX 75024-5229 | 2020-05-28 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1891315412 | Cvs Pharmacy Inc | Pharmacy | 17977 Fm 529 Rd, Houston, TX 77095-1005 | 2020-04-23 |
| 1144855610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3232 Meridiana Pkwy, Rosharon, TX 77583 | 2020-03-05 |
| 1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
| 1477183275 | Cvs Pharmacy Inc | Pharmacy | 4005 E 8th Pl, Denver, CO 80220-3942 | 2020-01-21 |
| 1750924262 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1933 Heritage Trace Pkwy, Fort Worth, TX 76177-0000 | 2019-10-28 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1477100386 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1915 Broadway St Ste 101, San Antonio, TX 78215-1133 | 2019-08-26 |
| 1750937066 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 Bailey Ranch Rd, Aledo, TX 76008 | 2019-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CVS Pharmacy Inc. | 1 Cvs Dr, Woonsocket, Rhode Island 02895-6146 |
| Street Address |
801 N CANAL ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564545 | Vishal Kholwadwala | Pharmacist | 801 N Canal St, Carlsbad, NM 88220-5107 | 2020-07-04 |
| 1396377248 | Joel Martial Martial Tchafack Kaze | Pharmacist | 801 N Canal St, Carlsbad, NM 88220-5107 | 2020-02-09 |
| 1013421668 | Arjun Modi | Pharmacist | 801 N Canal St, Carlsbad, NM 88220-5107 | 2017-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346593118 | Biorx LLC | Pharmacy | 1819 Aston Ave Ste 104, Carlsbad, CA 92008-7338 | 2012-10-18 |
| 1962711770 | Albertsons LLC | Pharmacy | 808 N Canal St, Carlsbad, NM 88220-2418 | 2010-09-28 |
| 1477640548 | Life Wellness Pharmacy, Inc. | Pharmacy | 1932 Kellogg Ave, Carlsbad, CA 92008-6581 | 2006-10-09 |
| 1487691812 | Albertsons LLC | Pharmacy | 2510 El Camino Real Ste A, Suite A, Carlsbad, CA 92008-1273 | 2006-06-02 |
| 1225075740 | United Supermarkets LLC | Pharmacy | 202 W Church Street, Carlsbad, NM 88220-2418 | 2006-06-01 |
| 1245286954 | Gelsons Markets | Pharmacy | 7660 El Camino Real, Carlsbad, CA 92009-7901 | 2006-05-25 |
| 1497704431 | Optumrx, Inc. | Pharmacy | 2858 Loker Ave E, Suite 100, Carlsbad, CA 92010-6666 | 2006-05-08 |
| 1619978533 | Ays Lp | Pharmacy | 2221 Las Palmas Dr, Suite G, Carlsbad, CA 92011-1528 | 2005-08-02 |
| 1942718440 | Cerner Health Connections, Inc | Pharmacy | 6155 El Camino Real, Carlsbad, CA 92009-1602 | 2018-01-18 |
| 1558781005 | Soli S Pharmacy Inc | Pharmacy | 1005 Carlsbad Village Dr Ste D2, Carlsbad, CA 92008-1883 | 2014-04-23 |
| Find all providers in CARLSBAD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.