CVS ALBANY LLC (NPI# 1205930062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205930062 |
| Entity Type | Organization |
| Organization Name | CVS ALBANY LLC |
| Other Organization Name | CVS PHARMACY #02440 |
| Practice Address |
530 Burnside Ave Inwood NY 11096-1237 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5163712828 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-08-13 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATION) |
| 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 | 23815 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3345736 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #02440 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497385967 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1520 Forest Ave, Staten Island, NY 10302-2234 | 2020-01-23 |
| 1861053605 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 196 Orchard St, New York, NY 10002-5093 | 2019-06-24 |
| 1760963631 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 307 Middle Country Rd, Selden, NY 11784-2558 | 2018-08-28 |
| 1578044533 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 3536 Broadway, New York, NY 10031-5632 | 2018-08-27 |
| 1548747470 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 288 Saint Nicholas Ave, New York, NY 10027-4811 | 2018-07-24 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1225546005 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 969 2nd Ave, New York, NY 10022-6303 | 2018-01-16 |
| 1447768247 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 87 Sunset Ave, Westhampton Beach, NY 11978-2324 | 2018-01-15 |
| 1669988473 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1760 5th Ave, Bay Shore, NY 11706-1739 | 2017-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Retail Food Store | CVS ALBANY LLC | RT 9W FAITH PLAZA RAVENA NY 12143 |
| Street Address |
530 BURNSIDE AVE |
| City | INWOOD |
| State | NY |
| Zip Code | 11096-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568973592 | Andreadenise Jacqueline Gray | Behavior Technician | 600 Bayview Ave Ste 309, Inwood, NY 11096 | 2017-10-17 |
| 1407118557 | Julie Ann Ackerman | Specialist | 188 Donahue Ave, Inwood, NY 11096 | 2012-06-14 |
| 1164706362 | Ilene Rona Isler | Speech-Language Pathologist | 1 Donahue Avenue, Number Two School, Inwood, NY 11096 | 2011-10-06 |
| 1790064582 | Sharon Rae Solomon-fried Cander | Social Worker | #1 Donahue Ave, Public School Number Two, Inwood, NY 11096 | 2011-08-10 |
| 1548567217 | Stephanie Hazel Campbell | Speech-Language Pathologist | Donahue Avenue, Number Two School, Inwood, NY 11096 | 2011-02-16 |
| 1659678472 | Anthony Thomas Procaccino Jr. | Psychologist | 1 Donahue Ave. Number Two Elementary School, Lawrence Public Schools, Inwood, NY 11096 | 2011-02-14 |
| 1760792089 | Janice Patricia Mcphaul-guerrier | Licensed Practical Nurse | 87 Wanser Avenue, Lawrence Public School # 4, Inwood, NY 11096 | 2010-10-20 |
| 1376857979 | Hilary E. Shein Rothman | Physical Therapist | 90 Henry Street, Inwood, NY 11096 | 2010-08-06 |
| 1144335712 | Carlos A Menera | Obstetrics & Gynecology | 270 Doughty Blvd, Inwood, NY 11096 | 2006-08-21 |
| 1881619708 | Inwood Community Health Center | Clinic/Center | 270 Lawrence Ave., Inwood, NY 11096 | 2006-07-13 |
| Find all providers in zip 11096 | ||||
| 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] |
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| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 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.