OHIO CVS STORES LLC (NPI# 1063515765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063515765 |
| Entity Type | Organization |
| Organization Name | OHIO CVS STORES LLC |
| Other Organization Name | CVS PHARMACY #06169 |
| Practice Address |
1411 Lexington Ave Mansfield OH 44907-2629 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4197561321 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 02201115003 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3600980 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #06169 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639724487 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 6030 N Hamilton Rd, Westerville, OH 43081-1685 | 2019-08-08 |
| 1942797345 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1892 North High St, Columbus, OH 43210 | 2018-04-20 |
| 1922524859 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2104 S. Byrne Rd, Toledo, OH 43614 | 2017-08-22 |
| 1124575865 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 210 E Emmitt Ave, Waverly, OH 45690-1336 | 2016-09-09 |
| 1154721264 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10560 Sawmill Rd, Powell, OH 43065 | 2014-08-26 |
| 1043626138 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2210 West Tuscarawas St, Canton, OH 44708 | 2014-07-09 |
| 1033545991 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 3761 Massilon Rd, Green, OH 44685 | 2013-09-23 |
| 1225461874 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 212 E Wooster St, Bowling Green, OH 43402-2921 | 2013-08-19 |
| 1477844926 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1130 Lincoln Way East, Massillon, OH 44646 | 2011-05-02 |
| 1922398437 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 7292 Fulton Dr Nw, Canton, OH 44718-1525 | 2011-04-18 |
| Street Address |
1411 LEXINGTON AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| 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 |
|---|---|---|---|---|
| 1124643200 | Dl Pharmacy | Pharmacy | 801 E Debbie Ln, Mansfield, TX 76063-3179 | 2020-06-14 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| 1578074985 | United Supermarkets LLC | Pharmacy | 3145 E Broad St, Mansfield, TX 76063 | 2017-10-12 |
| 1538529508 | Health-wise Pharmacy, Pllc | Pharmacy | 213 E Howard St, Mansfield, AR 72944-3411 | 2016-03-03 |
| 1538527569 | Ppg Store 1 LLC | Pharmacy | 607 Highway 71 E Ste B, Mansfield, AR 72944-3709 | 2016-02-04 |
| 1780977785 | Kroger Texas L P | Pharmacy | 3300 E Broad St, Mansfield, TX 76063-5629 | 2011-05-24 |
| 1215000781 | Brookshire Grocery Company | Pharmacy | 1117 Polk St, Attention Pharmacy Dept, Mansfield, LA 71052-2524 | 2006-11-15 |
| 1740353358 | Kroger Texas L P | Pharmacy | 3001 Matlock Rd, Mansfield, TX 76063-3302 | 2006-11-15 |
| 1104916188 | Big Y Foods Inc | Pharmacy | 141b Storrs Road, Mansfield, CT 06250 | 2006-10-13 |
| 1952335663 | The Kroger Co | Pharmacy | 1060 Ashland Rd, Mansfield, OH 44905-2157 | 2006-07-10 |
| Find all providers in MANSFIELD | ||||
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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.