NEW JERSEY CVS PHARMACY LLC (NPI# 1134211733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134211733 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 02746 |
| Practice Address |
410 Broad Ave Leonia NJ 07605-1618 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2015922201 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-11-15 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 5910 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3142673 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 02746 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125684 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1570 Route 38, Lumberton, NJ 08048-2932 | 2019-10-11 |
| 1952959272 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2311 Route 206, Suite 600, Belle Mead, NJ 08502 | 2019-08-29 |
| 1821652611 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1200 Highway 35, Middletown, NJ 07748-2013 | 2019-04-26 |
| 1083183594 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 30 Belvidere Ave, Washington, NJ 07882-1415 | 2018-11-14 |
| 1568912558 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 457 Route 46, Rockaway, NJ 07866 | 2016-10-13 |
| 1336699321 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 29 Vervalen St, Closter, NJ 07624 | 2016-10-13 |
| 1821545435 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3503 Route 46, Parsippany, NJ 07054 | 2016-09-01 |
| 1841662103 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1801 State Route 71, Wall, NJ 07719-3227 | 2015-10-27 |
| 1720459936 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4251 U.S. Hwy 9, Howell, NJ 07731-3379 | 2015-10-14 |
| 1336519149 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Atlantic City Blvd, Beachwood, NJ 08722-2800 | 2015-10-06 |
| Street Address |
410 BROAD AVE |
| City | LEONIA |
| State | NJ |
| Zip Code | 07605-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881246718 | Cvs Aoc Services, L.L.C. | Technician/Technologist | 410 Broad Ave, Leonia, NJ 07605-1618 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215459862 | Julie J Park | Acupuncturist | 113 Kingsley Street, Apt 2f, Leoni, NJ 07605 | 2017-07-14 |
| 1669894838 | Jinha Park | Physical Therapist | 135 Fort Lee Rd Ste 104, Leonia, NJ 07605 | 2014-01-07 |
| 1881956852 | Drama for Healing, LLC | Community/Behavioral Health | 127 Christie Street, 1st Floor, Leonia, NJ 07605 | 2012-06-14 |
| 1740566058 | Jacqueline Juele-schuster | Nurse Practitioner | 471 Broad Avenue, Leonia, NJ 07605 | 2011-11-01 |
| 1083914279 | Dohyang Lee | Nurse Practitioner | 600 Grand Ave., Leonia, NJ 07605 | 2010-10-22 |
| 1912052390 | Zelick Block | Psychologist | 189 Moore Ave, Leonia, NJ 07605 | 2007-01-24 |
| 1356885875 | Joo Medical Center | Clinic/Center | 388 Broad Ave, Leonia, NJ 07605 | 2016-12-19 |
| 1942360599 | Tae Yul Choi | Dentist | 110 Broad Ave, Leonia, NJ 07605 | 2006-12-12 |
| 1124321914 | Hae Sun Lee | Acupuncturist | 536 Nordhoff Dr, Leonia, NJ 07605-1012 | 2010-12-16 |
| 1437540382 | Barry Taller | Student in an Organized Health Care Education/Training Program | 570 Nordhoff Dr, Leonia, NJ 07605-1013 | 2015-02-13 |
| Find all providers in zip 07605 | ||||
| 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 |
|---|---|---|---|---|
| 1336582709 | Hana Healthmart Pharmacy Corp. | Pharmacy | 330 Broad Ave, Leonia, NJ 07605-1703 | 2013-04-16 |
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| 1770193757 | Rvl Pharmacy | Pharmacy | 2500 Main St Ste 10, Sayreville, NJ 08872-1473 | 2020-08-05 |
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1891303616 | Amwell Pharmacy Inc. | Pharmacy | 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 | 2020-07-17 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982237103 | Holmdel Pharmacy and Deli LLC | Pharmacy | 487 Middle Rd, Hazlet, NJ 07730-2426 | 2020-02-17 |
| 1184254575 | Frrx LLC | Pharmacy | 76 W Gilbert St, Tinton Falls, NJ 07701-4918 | 2020-01-24 |
| 1841820388 | Ewing Pharmacy LLC | Pharmacy | 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 | 2020-01-23 |
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
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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.