ARIZONA CVS STORES LLC (NPI# 1063456317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063456317 |
| Entity Type | Organization |
| Organization Name | ARIZONA CVS STORES LLC |
| Other Organization Name | CVS PHARMACY 08828 |
| Practice Address |
2090 E Fry Blvd Sierra Vista AZ 85635-2707 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5204581254 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR PHARMACY ENROLLMENTS) |
| 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 | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0353627 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 08828 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549181 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 24865 N Lake Pleasant Parkway, Peoria, AZ 85383-1280 | 2014-04-17 |
| 1285930164 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 5125 W Olive Ave, Glendale, AZ 85302-4213 | 2011-02-10 |
| 1780620831 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 305 E Brown Rd, Mesa, AZ 85201-3505 | 2006-06-20 |
| 1962448043 | Arizona Cvs Stores LLC | Pharmacy | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2006-06-20 |
| 1871539924 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 325 W Apache Trail, Apache Junction, Apache Junction, AZ 85120-3954 | 2006-06-20 |
| 1013952019 | Arizona Cvs Stores LLC | Pharmacy | 1555 S Avenue B, Yuma, AZ 85364-4584 | 2006-06-17 |
| 1245274596 | Arizona Cvs Stores LLC | Pharmacy | 3785 W Ina Rd, Tucson, AZ 85741-2247 | 2006-06-16 |
| 1518901867 | Arizona Cvs Stores LLC | Pharmacy | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2006-06-16 |
| 1972547222 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10720 W Bell Rd, Sun City, AZ 85351-1073 | 2006-06-16 |
| 1841234218 | Arizona Cvs Stores LLC | Pharmacy | 23215 N Pima Rd, Scottsdale, AZ 85255-4315 | 2006-06-16 |
| Street Address |
2090 E FRY BLVD |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861047409 | Athena Leah Borhauer | Pharmacist | 2090 E Fry Blvd, Sierra Vista, AZ 85635-2707 | 2019-08-08 |
| 1336553866 | David Terry | Pharmacist | 2090 E Fry Blvd, Sierra Vista, AZ 85635-2707 | 2014-06-12 |
| 1700135134 | Richard Adam Levine | Pharmacist | 2090 E Fry Blvd, Sierra Vista, AZ 85635-2707 | 2012-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| 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 |
|---|---|---|---|---|
| 1750536512 | Sierra Pharmacy LLC | Pharmacy | 2085 E Fry Blvd, Sierra Vista, AZ 85635-2708 | 2008-11-20 |
| 1184736167 | Bashas Inc | Pharmacy | 85 S Hwy 92, Sierra Vista, AZ 85635-3637 | 2006-08-31 |
| 1265459473 | Walmart Inc. | Pharmacy | 500 N Hwy 90 Byp, Sierra Vista, AZ 85635-2204 | 2006-07-16 |
| 1851333439 | Smiths Food & Drug Centers Inc | Pharmacy | 4351 E Highway 90, Sierra Vista, AZ 85635-2431 | 2006-06-11 |
| 1669013637 | Sierra Compounding LLC | Pharmacy | 2085 E Fry Blvd, Sierra Vista, AZ 85635-2708 | 2019-10-01 |
| 1558882233 | Chiricahua Community Health Centers Inc | Pharmacy | 155 Calle Portal Ste 600, Sierra Vista, AZ 85635-2973 | 2017-07-03 |
| 1366473472 | Kmart Operations LLC | Pharmacy | 2011 E Fry Blvd, Sierra Vista, AZ 85635-2753 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244861 | Canyonlands Community Healthcare | Pharmacy | 103 Fairgrounds Rd, Duncan, AZ 85534-8234 | 2020-10-26 |
| 1790384212 | Copilot Provider Support Services | Pharmacy | 8700 East Pinnacle Peak Road Ste 111, Johnson Bank Building, Scottsdale, AZ 85255-8525 | 2020-10-26 |
| 1366041501 | White Nile | Pharmacy | 4338 W Thomas Rd Unit E5, Phoenix, AZ 85031-3878 | 2020-10-20 |
| 1366050536 | Mariposa Community Health Center | Pharmacy | 1103 Circulo Mercado, Rio Rico, AZ 85648-6248 | 2020-07-14 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1952924847 | Cheryl Mackie | Pharmacy | 8010 E Mcdowell Rd Ste 201-206, Scottsdale, AZ 85257-3867 | 2020-05-26 |
| 1306472865 | Cordant Pharmacy Arizona, LLC | Pharmacy | 6641 E Baywood Ave Ste 101, Mesa, AZ 85206-1723 | 2020-03-17 |
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1811532609 | Nexus Patient Services | Pharmacy | 5080 N 40th St Ste 300, Phoenix, AZ 85018-2164 | 2019-11-15 |
| 1649813320 | Hi-health-rx LLC | Pharmacy | 15207 N 75th St Ste 105, Scottsdale, AZ 85260-2445 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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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.