CVS ALBANY LLC (NPI# 1043318686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043318686 |
| Entity Type | Organization |
| Organization Name | CVS ALBANY LLC |
| Other Organization Name | CVS PHARMACY 02414 |
| Practice Address |
245 269 Harry L Drive Johnson City NY 13790 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6077293414 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-08-13 |
| Authorized Official Name | CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS) |
| Authorized Official Telephone | 4017702937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 23706 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3342792 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 02414 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497385967 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1520 Forest Ave, Staten Island, NY 10302-2234 | 2020-01-23 |
| 1861053605 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 196 Orchard St, New York, NY 10002-5093 | 2019-06-24 |
| 1760963631 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 307 Middle Country Rd, Selden, NY 11784-2558 | 2018-08-28 |
| 1578044533 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 3536 Broadway, New York, NY 10031-5632 | 2018-08-27 |
| 1548747470 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 288 Saint Nicholas Ave, New York, NY 10027-4811 | 2018-07-24 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1225546005 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 969 2nd Ave, New York, NY 10022-6303 | 2018-01-16 |
| 1447768247 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 87 Sunset Ave, Westhampton Beach, NY 11978-2324 | 2018-01-15 |
| 1669988473 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1760 5th Ave, Bay Shore, NY 11706-1739 | 2017-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Retail Food Store | CVS ALBANY LLC | RT 9W FAITH PLAZA RAVENA NY 12143 |
| Street Address |
245 269 HARRY L DRIVE |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| 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 |
|---|---|---|---|---|
| 1396206140 | Tennessee Choice Pharmacy LLC | Pharmacy | 525 W Oakland Ave Ste 5, Johnson City, TN 37604-1673 | 2019-03-26 |
| 1801026638 | Txex Med LLC | Pharmacy | 405 Hwy 281 South, Johnson City, TX 78636 | 2009-07-14 |
| 1568599306 | Rowan Enterprises Inc | Pharmacy | 4729 N Roan St, Ste 2, Johnson City, TN 37615-3959 | 2007-02-28 |
| 1033280052 | Apothecary Inc | Pharmacy | 1301 N Roan St, Johnson City, TN 37601-3941 | 2006-11-13 |
| 1881628527 | Kroger Limited Partnership I | Pharmacy | 112 Sunset Dr, Johnson City, TN 37604-2503 | 2006-07-10 |
| 1639148687 | Wegmans Food Markets, Inc. | Pharmacy | 650 Harry L Dr, Attn: Pharmacy Manager, Johnson City, NY 13790-1146 | 2006-03-14 |
| 1053922195 | Nathaniel Wilson | Pharmacy | 429 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2020-08-12 |
| 1821392663 | United Health Services Hospitals Inc | Pharmacy | 52 Harrison St, Johnson City, NY 13790-2120 | 2011-01-10 |
| 1972518520 | Lb Prescription Enterprises Inc | Pharmacy | 711 Main St, Johnson City, NY 13790-1743 | 2006-07-30 |
| 1033143789 | Kroger Limited Partnership I | Pharmacy | 1805 W State of Franklin Rd, Johnson City, TN 37604-8801 | 2006-07-10 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on CVS ALBANY 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.