PENNSYLVANIA CVS PHARMACY LLC (NPI# 1104033620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104033620 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17280 |
| Practice Address |
6416 Carlisle Pike Mechanicsburg PA 17050-2393 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7177965781 |
| Practice Fax Number | 7177965791 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2016-12-15 |
| 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 | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481742 | PA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2081856 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17280 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104356971 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 339 E Lancaster Ave, Wynnewood, PA 19096-1920 | 2017-06-14 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1578094751 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 Sumneytown Pike, Spring House, PA 19477 | 2017-03-21 |
| 1750832465 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 501 N 22nd St, Philadelphia, PA 19130-3507 | 2016-10-18 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1588030001 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1678 Susquehanna Rd, Dresher, PA 19025 | 2015-08-19 |
| 1114393063 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 259 Market St, Philadelphia, PA 19106-4502 | 2015-08-14 |
| 1467835546 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1650 Menoher Blvd, Johnstown, PA 15905-2000 | 2015-07-07 |
| 1548641178 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1040 W Chester Pike, West Chester, PA 19382-5003 | 2015-06-09 |
| Street Address |
6416 CARLISLE PIKE |
| City | MECHANICSBURG |
| State | PA |
| Zip Code | 17050-2393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063597854 | Susan Rebecca Ritter | Pharmacist | 6416 Carlisle Pike, Mechanicsburg, PA 17050-2393 | 2006-10-27 |
| 1639433253 | Ankit K Talati | Dentist | 6416 Carlisle Pike, Suite 500, Mechanicsburg, PA 17050-2393 | 2012-06-28 |
| 1861770240 | Kamaljit Kaur | Dentist | 6416 Carlisle Pike, #500, Mechanicsburg, PA 17050-2393 | 2011-08-02 |
| 1437447695 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 6416 Carlisle Pike, Ste. 880, Mechanicsburg, PA 17050 | 2011-07-21 |
| 1841523065 | Lisa Ann Tiday | Pharmacist | 6416 Carlisle Pike, Suite 1900, Mechanicsburg, PA 17050 | 2009-09-08 |
| 1174789739 | Desai Dental Associates Dds, PC | Dentist | 6416 Carlisle Pike, Suite 500, Mechanicsburg, PA 17050-2393 | 2008-08-04 |
| 1689710550 | Deborah Annie Butler | Dentist | 6416 Carlisle Pike, Suite 500, Mechanicsburg, PA 17050-2393 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459381 | Agape Counseling of Central Penn | Counselor | 5249 Simpson Ferry Rd., Mechanicsburg, PA 17050 | 2019-07-24 |
| 1316590300 | Elizabeth Vanpelt | Social Worker | 2023 Mountain Pine Dr., Mechanicsburg, PA 17050 | 2019-07-19 |
| 1760967392 | Megan Michele Okafor | Family Medicine | 335 Lambs Gap Road, Mechanicsburg, PA 17050 | 2018-09-28 |
| 1962980300 | Biodxx, Inc. | Pathology | Biodxx Inc., 100 Bianca Court, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1871071217 | Biozt Corporation | Pathology | 100 Bianca Ct, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1699151183 | Barry Alan Wingard | Surgery | 1615 Jerusalem Road, Mechanicsburg, PA 17050 | 2015-08-06 |
| 1720488737 | Jonathan Thomas Milliron | Physical Therapist | 5103 Carliste Pike, Gilbert Physical Therapy Affiliate of Outpatient Physic, Mechanicsburg, PA 17050 | 2014-08-27 |
| 1952652554 | Behavioral Health PC | Counselor | 1229 Scenery Dr, Mechanicsburg, PA 17050 | 2012-09-24 |
| 1194091546 | John Clinton Stoner | Pediatrics | 5385 Rivendale Blvd., Mechanicsburg, PA 17050 | 2012-03-30 |
| 1922394634 | Mary Ann Nowak Stetz | Social Worker | 1016 Crystal Creek Circle, Mechanicsburg, PA 17050 | 2011-06-21 |
| Find all providers in zip 17050 | ||||
| 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 |
|---|---|---|---|---|
| 1619061967 | Continuing Care Rx, LLC | Pharmacy | 5225 Wilson Lane, Mechanicsburg, PA 17055-6663 | 2006-10-03 |
| 1699700757 | Giant Food Stores, LLC | Pharmacy | 5301 Simpson Ferry Rd Ste 101, Mechanicsburg, PA 17050-3544 | 2006-07-11 |
| 1053344382 | Weis Markets Inc | Pharmacy | 5140 Simpson Ferry Rd, Mechanicsburg, PA 17050-3627 | 2006-07-09 |
| 1548293889 | Weis Markets Inc | Pharmacy | 2150 Bumble Bee Hollow Rd, Mechanicsburg, PA 17055-5563 | 2006-07-09 |
| 1811929839 | Giant Food Stores LLC | Pharmacy | 255 Cumberland Pkwy, Mechanicsburg, PA 17055-5677 | 2006-07-07 |
| 1285058651 | Cl Cressler Inc | Pharmacy | 5225 Wilson Ln, Mechanicsburg, PA 17055-6663 | 2014-02-06 |
| 1972600724 | Walter Reed National Military Med Center | Pharmacy | 5450 Carlisle Pike, Mechanicsburg, PA 17050-2411 | 2006-09-20 |
| 1033221049 | Gdd Pharmacy Services Inc | Pharmacy | 2025 Technology Pkwy, Ste G04, Mechanicsburg, PA 17050-9400 | 2006-08-31 |
| 1801827878 | K Mart Corp | Pharmacy | 5600 Carlisle Pike, Mechanicsburg, PA 17050-2491 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506561 | Temple Community Pharmacy | Pharmacy | 3535 N 5th Street Hwy Ste 2, Reading, PA 19605-1703 | 2020-07-29 |
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSBURG |
| Zip Code | 17050 |
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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.