IOWA CVS PHARMACY LLC (NPI# 1003838749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003838749 |
| Entity Type | Organization |
| Organization Name | IOWA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16915 |
| Practice Address |
1501 E San Marnan Dr Waterloo IA 50702-4300 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3192266761 |
| Practice Fax Number | 3194933385 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-10-19 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1160 | IA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2030066 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16915 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366811291 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2420 Lincoln Way Ste 104, Ames, IA 50014-7217 | 2015-09-22 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1962828897 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2303 Merle Hay Rd, Des Moines, IA 50310-1140 | 2014-03-17 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1306287669 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3151 Se 14th St, Des Moines, IA 50320-1317 | 2013-07-15 |
| 1043556988 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 104 E. 1st St, Ankeny, IA 50021-1703 | 2012-12-21 |
| 1891043717 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3495 7th Ave, Marion, IA 52302-3735 | 2012-08-27 |
| 1063790178 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3419 16th Ave Sw, Cedar Rapids, IA 52404-2326 | 2011-07-25 |
| 1710281670 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1441 Coral Ridge Ave, Coralville, IA 52241-2801 | 2011-01-06 |
| 1578798690 | Iowa Cvs Pharmacy LLC | Pharmacy | 214 Viking Plaza Dr, Cedar Falls, IA 50613-6936 | 2009-05-19 |
| Street Address |
1501 E SAN MARNAN DR |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225433188 | Susan Becker | Pharmacist | 1501 E San Marnan Dr, Waterloo, IA 50702-4300 | 2014-11-04 |
| 1649606633 | Laura Anne Krogh | Pharmacist | 1501 E San Marnan Dr, Waterloo, IA 50702-4300 | 2013-09-23 |
| 1548555444 | Sandra Eagle | Pharmacist | 1501 E San Marnan Dr, T-1792, Waterloo, IA 50702-4300 | 2011-06-20 |
| 1982756995 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1501 E San Marnan Dr, Waterloo, IA 50702-4300 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| 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 |
|---|---|---|---|---|
| 1700987435 | Nudak Ventures LLC | Pharmacy | 209 E San Marnan Dr Ste 100, Waterloo, IA 50702-5839 | 2006-09-26 |
| 1033120670 | Nudak Ventures LLC | Pharmacy | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2006-08-10 |
| 1619978202 | Zimbric Pharmacies,inc | Pharmacy | 104 E Madison St, Waterloo, WI 53594-1273 | 2005-08-03 |
| 1932642600 | Greenwood Drug, Inc. | Pharmacy | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2016-11-29 |
| 1689004368 | Family Practice Center Phcy | Pharmacy | 2055 Kimball Ave, Suite 101, Waterloo, IA 50702-5047 | 2013-11-18 |
| 1720108541 | Peoples Community Health Clinic, Inc. | Pharmacy | 905 Franklin St, Waterloo, IA 50703-4407 | 2007-03-29 |
| 1134284565 | Amicare Pharmacy Inc | Pharmacy | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2006-12-26 |
| 1831116763 | Wightman Pharmacy Inc | Pharmacy | 127 S Main St, Waterloo, IL 62298-1371 | 2006-07-16 |
| 1518998574 | K Mart Corp | Pharmacy | 3810 University Ave, Waterloo, IA 50701-5625 | 2006-07-06 |
| 1497796494 | Covenant Medical Center Inc | Pharmacy | 2710 Saint Francis Dr, Ste 101, Waterloo, IA 50702-5619 | 2006-06-09 |
| Find all providers in WATERLOO | ||||
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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.