CVS PHARMACY, INC. (NPI# 1043446685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043446685 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY, INC. |
| Other Organization Name | CVS PHARMACY# 04732 |
| Practice Address |
100 East University Blvd. Odessa TX 79762 |
| Mailing Address |
1 Cvs Dr Box 1075- Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 4323320908 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2010-08-26 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 466620 | 05 | |
| NCPDP# | 4552522 | 01 | |
| TX | DME | 208624101 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy# 04732 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1083225528 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 110 E. Richey Rd, Houston, TX 77090-5802 | 2020-08-10 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| 1730676461 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 8041 N Mesa St # A, El Paso, TX 79932 | 2018-04-18 |
| 1053826594 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4165 Washington St, Roslindale, MA 02131-1718 | 2017-12-06 |
| 1710335351 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4489 County Road 94, Manvel, TX 77578 | 2016-05-24 |
| 1043666407 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1555 East Renner Rd, Richardson, TX 75082-3074 | 2016-05-04 |
| 1104281914 | Cvs Pharmacy, Inc. | Pharmacy | 10515 Fry Rd, Cypress, TX 77433 | 2015-12-21 |
| 1588029458 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 7220 Blue Mound Rd, Fort Worth, TX 76131-4802 | 2015-12-21 |
| 1558677740 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1484 Ruben Torres Blvd, Brownsville, TX 78521-1537 | 2010-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CVS PHARMACY, INC. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Iowa Business Entities | CVS PHARMACY, INC. | One Cvs Dr, Woonsocket, RI 02895 |
| Massachusetts Corporations | CVS PHARMACY, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| Washington State Corporations | CVS PHARMACY, INC. | 1 Cvs Dr # 1160, Woonsocket, RI 02895-6146 |
| Colorado Business Entities | CVS Pharmacy, Inc. | 1 Cvs Drive, Mc 1160, Woonsocket, RI 02895 |
| Connecticut Business Registrations | CVS PHARMACY, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| New York State Corporations | CVS PHARMACY, INC. | 28 Liberty St., New York, Ny 10005 |
| Oklahoma Business Registrations | CVS PHARMACY, INC. | One Cvs Dr, Woonsocket, RI 02895 |
| Vermont Business Registrations | CVS PHARMACY, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| Indiana Business Entities | CVS PHARMACY, INC. | One Cvs Dr, Woonsocket, RI 02895 |
| Street Address |
100 EAST UNIVERSITY BLVD. |
| City | ODESSA |
| State | TX |
| Zip Code | 79762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| 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 |
|---|---|---|---|---|
| 1093871360 | Asset Rx Inc | Pharmacy | 408 N 4th St, Ste A, Odessa, MO 64076-1152 | 2006-12-29 |
| 1922168160 | Pay and Save Inc | Pharmacy | 2021 E 8th St, Odessa, TX 79761-4203 | 2006-12-11 |
| 1710076401 | Golder Professional Pharmacy Inc | Pharmacy | 319 Golder Ave, Odessa, TX 79761-5009 | 2006-10-12 |
| 1669493631 | Infusion Assoc of W Texas LLC | Pharmacy | 1522 N Texas Ave, Odessa, TX 79761-2613 | 2006-07-22 |
| 1922045368 | United Supermarkets LLC | Pharmacy | 4950 E 42nd St, Odessa, TX 79762-7240 | 2006-06-02 |
| 1801880356 | Town & Country Drug, Inc. | Pharmacy | 2745 N Grandview Ave, Odessa, TX 79762-6952 | 2005-09-09 |
| 1255324836 | Ben-ray Inc. | Pharmacy | 310 Dotsy Ave, Odessa, TX 79763-4342 | 2005-08-29 |
| 1336657220 | Westex Pharmacy LLC | Pharmacy | 601 E 7th St, Odessa, TX 79761-4509 | 2018-01-13 |
| 1831259076 | Pay and Save Inc | Pharmacy | 1107 E 42nd St, Odessa, TX 79762-7723 | 2006-12-11 |
| 1285675132 | Odessa Family Pharmacy | Pharmacy | 316 W 40 Hwy, Ste A, Odessa, MO 64076 | 2006-06-10 |
| Find all providers in ODESSA | ||||
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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.