CVS PHARMACY INC. (NPI# 1053505065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053505065 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY INC. |
| Other Organization Name | CVS PHARMACY #16135 |
| Practice Address |
11120 Lomas Blvd Ne Albuquerque NM 87112-5582 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5052929110 |
| Practice Fax Number | 5053488405 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-09-02 |
| Last Update Date | 2016-12-22 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00004178 | NM | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2059021 | 01 | |
| NM | 46752234 | 05 | |
| NM | NM MEDICAID (DME) | 67007023 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16135 | 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 |
11120 LOMAS BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-5582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477037810 | David Archuleta | Pharmacist | 11120 Lomas Blvd Ne, Albuquerque, NM 87112-5582 | 2018-09-21 |
| 1003256769 | Candice Nicole Korte | Pharmacist | 11120 Lomas Blvd Ne, T-0357, Albuquerque, NM 87112-5582 | 2013-06-26 |
| 1396081774 | Emily Power | Pharmacist | 11120 Lomas Blvd Ne, Albuquerque, NM 87112-5582 | 2012-12-12 |
| 1720323595 | Don Richard Mcguire | Pharmacist | 11120 Lomas Blvd Ne, Albuquerque, NM 87112-5582 | 2012-12-05 |
| 1831461961 | Truc-quyen Tran | Pharmacist | 11120 Lomas Blvd Ne, Target #0357, Albuquerque, NM 87112-5582 | 2012-02-06 |
| 1376814681 | Armin Quedzuweit | Pharmacist | 11120 Lomas Blvd Ne, T-0357, Albuquerque, NM 87112-5582 | 2012-01-18 |
| 1669752788 | Daniel Lari | Pharmacist | 11120 Lomas Blvd Ne, Albuquerque, NM 87112-5582 | 2011-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| 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 |
|---|---|---|---|---|
| 1184264145 | Benzer Nm 1 LLC | Pharmacy | 2000 Carlisle Blvd Ne Ste E, Albuquerque, NM 87110-4973 | 2020-01-08 |
| 1063872455 | The Pill Box Pharmacy | Pharmacy | 1010 Bridge Blvd Sw Ste B2, Albuquerque, NM 87105-3765 | 2016-02-29 |
| 1134596976 | Genoa Healthcare, LLC | Pharmacy | 7850 Jefferson St Ne Ste 301, Albuquerque, NM 87109-4315 | 2015-08-27 |
| 1346623295 | Unm Hospital | Pharmacy | 2211 Lomas Blvd Ne # 4acc, Albuquerque, NM 87106-2719 | 2015-07-09 |
| 1417330044 | Unm Medical Group, Inc. | Pharmacy | 801 Encino Pl Ne Ste B4, Albuquerque, NM 87102-2642 | 2015-07-01 |
| 1710231733 | Home Medical Equipment Specialists LLC | Pharmacy | 10801 Golf Course Rd Nw, Albuquerque, NM 87114-6378 | 2012-10-29 |
| 1982901195 | Optum Infusion Services 308, LLC | Pharmacy | 2420 Comanche Rd Ne, Suite A-5, Albuquerque, NM 87107-4753 | 2011-02-24 |
| 1215233820 | Sw Mesa Center for Family and Community Health Pharmacy | Pharmacy | 301 Unser Blvd Nw Ste 106, Albuquerque, NM 87121-1927 | 2011-01-28 |
| 1609056035 | Vida Pharmacy LLC | Pharmacy | 8500 Jefferson St Ne, Ste D, Albuquerque, NM 87113-1883 | 2007-11-14 |
| 1023147774 | West Mesa Regent Pharmacy | Pharmacy | 5300 Sequoia Rd Nw, Suite L, Albuquerque, NM 87120-1284 | 2007-03-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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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.