CVS PHARMACY INC. (NPI# 1053461301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053461301 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY INC. |
| Other Organization Name | CVS PHARMACY # |
| Practice Address |
5270 S State Highway 360 Grand Prairie TX 75052-8307 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4693482101 |
| Practice Fax Number | 4693482104 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2016-08-25 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
30511 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2099924 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012805 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 129 Shahan Prairie Rd, Oak Point, TX 75068 | 2020-10-30 |
| 1932719226 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 500 Geneva Ave, Dorchester, MA 02122-1321 | 2020-08-03 |
| 1881248532 | Cvs Pharmacy Inc. | Pharmacy | 4333 W Jefferson Blvd, Cockrell Hill, TX 75211-4622 | 2019-07-31 |
| 1326600909 | Cvs Pharmacy Inc. | Pharmacy | 13343 Culebra Rd, San Antonio, TX 78253-6901 | 2019-07-03 |
| 1346800604 | Cvs Pharmacy Inc. | Pharmacy | 7979 Belt Line Rd, Dallas, TX 75254-8129 | 2019-06-19 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| 1811400021 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 9060 Dyer St, El Paso, TX 79904-1406 | 2017-11-09 |
| 1205348075 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 3200 N Big Spring St, Midland, TX 79705-5315 | 2017-11-01 |
| 1558872143 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 9215 Midway Rd, Dallas, TX 75220-3846 | 2017-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CVS Pharmacy Inc. | 1 Cvs Dr, Woonsocket, Rhode Island 02895-6146 |
| Street Address |
5270 S STATE HIGHWAY 360 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052-8307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275922270 | Patrick Keith Roberts | Pharmacist | 5270 S State Highway 360, Grand Prairie, TX 75052-8307 | 2015-01-13 |
| 1629323332 | Bamidele Otunuga | Pharmacist | 5270 S State Highway 360, Target Pharmacy (t-2243), Grand Prairie, TX 75052-8307 | 2012-07-18 |
| 1982991782 | Andrea Dawn Novotny | Pharmacist | 5270 S State Highway 360, Grand Prairie, TX 75052-8307 | 2011-06-30 |
| 1770879272 | Khanh Quoc Le | Pharmacist | 5270 S State Highway 360, Grand Prairie, TX 75052-8307 | 2011-06-22 |
| 1477849370 | Deshawn D. Fontenot | Pharmacist | 5270 S State Highway 360, T-2243, Grand Prairie, TX 75052-8307 | 2011-06-20 |
| 1629384813 | Hansa Anonetapipat LLC | Optometrist | 5270 S State Highway 360, Grand Prairie, TX 75052-8307 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644196 | Kenneth Chike Nwankwo | Pharmacy | 2817 Garden Oaks Pl, Grand Prairie, TX 75052-4402 | 2019-02-09 |
| 1528549557 | Wellfort Corporation | Pharmacy | 3950 S Carrier Pkwy Ste 100, Grand Prairie, TX 75052-6671 | 2018-08-27 |
| 1134669070 | Mayfield Pharmacy Inc | Pharmacy | 2451 Robinson Rd Ste 200, Grand Prairie, TX 75051-3978 | 2017-02-25 |
| 1205243086 | Zing Pharmacy LLC | Pharmacy | 2615 W Pioneer Pkwy Ste 139, Grand Prairie, TX 75051-3618 | 2014-07-14 |
| 1407290356 | Premier One Pharma Inc. | Pharmacy | 4927 Lake Ridge Pkwy Ste #180, Grand Prairie, TX 75052 | 2013-04-22 |
| 1083775159 | Sunrise Care Inc | Pharmacy | 2771 Sherman St, Suite B, Grand Prairie, TX 75051-6016 | 2006-12-13 |
| 1619055597 | Minyard Food Stores Inc. | Pharmacy | 2500 S Carrier Pkwy, Grand Prairie, TX 75052-5016 | 2006-11-01 |
| 1508960394 | Cvs Pharmacy Inc | Pharmacy | 810 W Pioneer Pkwy, Grand Prairie, TX 75051-4708 | 2006-09-12 |
| 1568409951 | Walgreen Co. | Pharmacy | 4103 S Great Southwest Pkwy, Grand Prairie, TX 75052-3801 | 2006-06-02 |
| 1760904932 | Ideal Specialty Pharmacy, LLC | Pharmacy | 2771 Sherman St, Suite B, Grand Prairie, TX 75051-6018 | 2017-07-10 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
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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.