PENNSYLVANIA CVS PHARMACY, LLC (NPI# 1033761788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033761788 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY, LLC |
| Practice Address |
490 N. Broad Street Suite 100 Philadelphia PA 19130-4312 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 4017651500 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | SUSAN F 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Cvs Pharmacy # 11177 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407203995 | Pennsylvania Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 749 N Krocks Rd, Allentown, PA 18106-9076 | 2016-05-16 |
| 1134576622 | Pennsylvania Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 1122 Chestnut St # 38, Philadelphia, PA 19107-4802 | 2016-05-16 |
| 1104271667 | Pennsylvania Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 1919 Market St, Suite 150, Philadelphia, PA 19103-1491 | 2016-05-03 |
| 1790105104 | Pennsylvania Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 3331 Grant Ave, Philadelphia, PA 19114-2629 | 2014-04-24 |
| 1962842674 | Pennsylvania Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 3373 E Lincoln Hwy, Parkesburg, PA 19365-2111 | 2013-06-26 |
| 1710325055 | Pennsylvania Cvs Pharmacy, LLC | Pharmacy | 3265 County Line Rd, Chalfont, PA 18914 | 2013-06-10 |
| 1639273410 | Pennsylvania Cvs Pharmacy, LLC | Pharmacy | 2020 Columbia Ave # 1, Lancaster, PA 17603-4331 | 2006-09-12 |
| Street Address |
490 N. BROAD STREET SUITE 100 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| 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 |
|---|---|---|---|---|
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1346883451 | Dragon Pharmacy 99, LLC | Pharmacy | 2842 Saint Vincent St Unit A2, Philadelphia, PA 19149-1454 | 2019-10-21 |
| 1609417070 | Sdarbouze Apothecary Inc. | Pharmacy | 5751 N Broad St Ste 3, Philadelphia, PA 19141-2302 | 2019-10-07 |
| 1912550575 | Shwartz Rx 5610 Inc. | Pharmacy | 5610 Lancaster Ave Ste 200, Philadelphia, PA 19131-3440 | 2019-07-22 |
| 1487112405 | Sunray Chester LLC | Pharmacy | 5518 Chester Ave, Philadelphia, PA 19143-5328 | 2019-03-08 |
| 1669954210 | Wellmart Pharmacy Inc. | Pharmacy | 2363 E Allegheny Ave, Philadelphia, PA 19134-4431 | 2018-08-30 |
| 1902383185 | Tb Pharmacy Inc. | Pharmacy | 4931 N Broad St, Philadelphia, PA 19141-2215 | 2018-07-20 |
| 1154827103 | Gilead Pharmacy Inc | Pharmacy | 1226 N 52nd St Fl 1, Philadelphia, PA 19131-4315 | 2018-03-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
Please comment or provide details below to improve the information on PENNSYLVANIA CVS PHARMACY, LLC.
| 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.