PENNSYLVANIA CVS PHARMACY, L.L.C. (NPI# 1043311509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043311509 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #01679 |
| Practice Address |
197 N Main St Mansfield PA 16933-1311 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5706622615 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | SUSAN COLBERT (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 |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | PP413849L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3952620 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #01679 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189294 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1717 N 12th St Unit F, Philadelphia, PA 19122-2585 | 2019-05-14 |
| 1750874517 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 456 N 5th St, Philadelphia, PA 19123 | 2018-06-07 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1154833069 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1589 Fruitville Pike, Lancaster, PA 17601-4005 | 2017-11-01 |
| 1821513813 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2001 Pennsylvania Ave, Philadelphia, PA 19130-3823 | 2017-08-10 |
| 1497059463 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2363 Oregon Pike, Lancaster, PA 17601-4608 | 2011-01-05 |
| 1003118621 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 445 West Street Rd., Warminster, PA 18974 | 2010-12-02 |
| 1790091668 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 Oxford Valley Rd, Yardley, PA 19067 | 2010-08-30 |
| 1336451442 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2110 Spring Valley Rd, Lancaster, PA 17601-2427 | 2010-07-06 |
| 1730400953 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 130 Schuylkill Rd, Phoenixville, PA 19460-2232 | 2010-06-22 |
| Street Address |
197 N MAIN ST |
| City | MANSFIELD |
| State | PA |
| Zip Code | 16933-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1144451121 | Wellspring Community Support Services, Inc. | Clinic/Center | 3rd & St. James Street, St. James Complex #206b, Mansfield, PA 16933 | 2009-08-07 |
| 1417193707 | Roger Mark Stager | Dentist | 17 N Main St., Mansfield, PA 16933 | 2008-12-17 |
| 1477700185 | David Michael August | Psychiatry & Neurology | 103 A St James Place, Mansfield, PA 16933 | 2008-08-25 |
| 1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
| 1518161520 | Elite Therapy PC | Physical Therapist | 285 South Main St., Mansfield, PA 16933 | 2007-06-13 |
| 1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
| 1487779880 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James & Third St., Mansfield, PA 16933 | 2007-03-21 |
| 1760507586 | Tioga County Dept of Human Services | Community/Behavioral Health | St. James Place Bldg. A, Mansfield, PA 16933 | 2007-03-20 |
| 1497895783 | Christopher David Jones | Physical Therapist | 285 S Main St, Mansfield, PA 16933 | 2007-02-07 |
| Find all providers in zip 16933 | ||||
| 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 |
|---|---|---|---|---|
| 1124643200 | Dl Pharmacy | Pharmacy | 801 E Debbie Ln, Mansfield, TX 76063-3179 | 2020-06-14 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| 1578074985 | United Supermarkets LLC | Pharmacy | 3145 E Broad St, Mansfield, TX 76063 | 2017-10-12 |
| 1538529508 | Health-wise Pharmacy, Pllc | Pharmacy | 213 E Howard St, Mansfield, AR 72944-3411 | 2016-03-03 |
| 1538527569 | Ppg Store 1 LLC | Pharmacy | 607 Highway 71 E Ste B, Mansfield, AR 72944-3709 | 2016-02-04 |
| 1780977785 | Kroger Texas L P | Pharmacy | 3300 E Broad St, Mansfield, TX 76063-5629 | 2011-05-24 |
| 1215000781 | Brookshire Grocery Company | Pharmacy | 1117 Polk St, Attention Pharmacy Dept, Mansfield, LA 71052-2524 | 2006-11-15 |
| 1740353358 | Kroger Texas L P | Pharmacy | 3001 Matlock Rd, Mansfield, TX 76063-3302 | 2006-11-15 |
| 1104916188 | Big Y Foods Inc | Pharmacy | 141b Storrs Road, Mansfield, CT 06250 | 2006-10-13 |
| 1952335663 | The Kroger Co | Pharmacy | 1060 Ashland Rd, Mansfield, OH 44905-2157 | 2006-07-10 |
| Find all providers in MANSFIELD | ||||
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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.