PUERTO RICO CVS PHARMACY LLC (NPI# 1194268482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194268482 |
| Entity Type | Organization |
| Organization Name | PUERTO RICO CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 10901 |
| Practice Address |
8030 Calle Tartak Carolina PR 00979-5732 |
| Mailing Address |
1 Cvs Dr Box 1075 Pharmacy Enrollment Woonsocket RI 02895-6146 |
| Practice Telephone | 7876410153 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | SUSAN COLBERT (SR. DR. 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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | NCPDP | 4029600 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 10901 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699229161 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | C1 Calle Parkside 4, Guaynabo, PR 00968-3305 | 2016-08-12 |
| 1275902371 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1901 Ave Rexach, San Juan, PR 00915 | 2015-09-18 |
| 1912381120 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6020 Ave Roberto Sanchez Vilella, Carolina, PR 00982-3707 | 2015-07-17 |
| 1275916959 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 374 Ave Ponce De Leon, San Juan, PR 00918-2024 | 2015-06-30 |
| 1437563350 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1307 Ave Ashford, San Juan, PR 00907-1325 | 2014-06-18 |
| 1891136255 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2511 Ponce Byp, Ponce, PR 00717-1314 | 2013-07-15 |
| 1316385800 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 60 Ave Los Dominicos, Toa Baja, PR 00949 | 2013-06-06 |
| 1841540101 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 178 Carr 2, Guaynabo, PR 00966-1808 | 2012-09-14 |
| 1922363027 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 830 Carr 857, Carolina, PR 00987-2447 | 2012-07-05 |
| 1912263195 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Rexville Plz Ste 13, Bayamon, PR 00957-4156 | 2012-04-02 |
| Street Address |
8030 CALLE TARTAK |
| City | CAROLINA |
| State | PR |
| Zip Code | 00979-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053840462 | Goretti Torres | Pharmacist | 8030 Calle Tartak, Carolina, PR 00979 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769254 | Irma Cristina Acevedo | Psychologist | St. Palma De Sombrero #2, Urb. Villas Del Palmar Sur, Carolina, PR 00979 | 2020-08-06 |
| 1306468145 | Celia Rivera | Social Worker | 42 Calle Lucero, Urb. Los Angeles, Carolina, PR 00979 | 2020-05-14 |
| 1659922771 | Neyda Rosa Estremera | Technician | Condomino Waldorf Towers Apt. 1202, 4123 Ave. Isla Verde, Carolina, PR 00979 | 2019-09-20 |
| 1891351417 | Cesar G. Gerena Candal | General Practice | 1906 Cond Mundo Feliz, Carolina, PR 00979 | 2019-05-20 |
| 1770054298 | Movitaxi | Ambulance | 5870 Calle Tartak Apart 2104, Condominio Costa Del Sol, Carolina, PR 00979 | 2018-12-10 |
| 1720569973 | Soobin Maeng | General Practice | Condominio Playa Dorada Torres B Ph 12, Carolina, PR 00979 | 2018-08-26 |
| 1780170514 | Mayelin Amoros Duquesne | Internal Medicine | 5347 Ave Isla Verde, Marbella Oeste 1814, Carolina, PR 00979 | 2018-07-04 |
| 1851886741 | Carl L Palermo | Independent Medical Examiner | 7041 Calle 187 Apt 609a, Carolina, PR 00979 | 2018-06-25 |
| 1548753338 | Carol Stephanie Gonzalez | Psychologist | Isla Verde Mall, Avenida Los Gobernadores, Suite 218, Carolina, PR 00979 | 2018-06-07 |
| 1104323906 | Hospitalist Medical Services, Psc | Anesthesiology | Edificio Jesus T Pinero Ave Fernandez Juncos Bo Pueblo, Carolina, PR 00979 | 2018-04-09 |
| Find all providers in zip 00979 | ||||
| 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 |
|---|---|---|---|---|
| 1316548522 | Barakah Two Thousands Drug LLC | Pharmacy | Ave Campo Rico, Esq Ave Fidalgo Diaz, Sabana Gardens, Carolina, PR 00983 | 2020-11-04 |
| 1013286384 | Next G Corp | Pharmacy | S-c Carr 3 Km 14.7, Los Colobos Shopping Center, Carolina, PR 00979 | 2011-12-15 |
| 1528395639 | Farmacia Marlet Inc | Pharmacy | Pr #3 Km 1.3 Pr #853 Marginal 65 Infanteria Bo. Trujill, Carolina, PR 00987 | 2009-11-10 |
| 1205045689 | Farmacia Cedros | Pharmacy | Carr 185 Km 127 Bo Cedros, Carolina, PR 00987 | 2007-05-22 |
| 1386796639 | Farmacia Alberty Inc | Pharmacy | Ignacio Arzuaya 55, Carolina, PR 00985 | 2007-01-17 |
| 1689722647 | Farmacia Amiga Inc | Pharmacy | Cen Com Monserrate Plaza, Ave Paseo De Los Gigantes, Villa Carolina, Carolina, PR 00985-5444 | 2007-01-08 |
| 1720145238 | Farmacia Pontezuela 24 LLC | Pharmacy | C 9 Ave Pontezuela Vistamar, Cond Golden Tower, Carolina, PR 00983 | 2007-01-03 |
| 1114082724 | Barakah Two Thousand Drugs LLC | Pharmacy | Urb Los Angeles, Ave. Las Flores Wd 22, Carolina, PR 00979 | 2006-12-26 |
| 1346228897 | Farmacia Nueva | Pharmacy | Munoz Rivera Esq. Salvador Brau, #100, Carolina, PR 00985 | 2006-01-05 |
| 1417509670 | Jessica Marie Rodriguez | Pharmacy | 10 Ave Laguna, Laguna Garden Shp Ctr. #115, Carolina, PR 00979-6400 | 2019-07-09 |
| Find all providers in CAROLINA | ||||
Please comment or provide details below to improve the information on PUERTO RICO CVS PHARMACY LLC.
| 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.