NORTH CAROLINA CVS PHARMACY LLC (NPI# 1215030903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215030903 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #07564 |
| Practice Address |
625 E Roosevelt Blvd Monroe NC 28112-5124 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7042898513 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| 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 | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 6729 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3423895 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #07564 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1821465568 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3001 Hillsborough St, Suite 100, Raleigh, NC 27607-5434 | 2015-08-28 |
| 1437492246 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 N Sandhills Blvd, Aberdeen, NC 28315-2304 | 2013-03-29 |
| 1790022671 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 100 Grand Hill Pl, Holly Springs, NC 27540-4416 | 2013-01-11 |
| 1518202209 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1025 Nc 24-87, Cameron, NC 28326-6954 | 2012-12-06 |
| 1043588627 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1132 East Cutlar Crossing, Leland, NC 28451-6426 | 2011-12-09 |
| 1639456502 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7496 Rockfish Rd, Fayetteville, NC 28306-8076 | 2011-11-07 |
| 1003195801 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3001 Market Center Dr, Morrisville, NC 27560-7505 | 2011-08-10 |
| 1295026565 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2351 Us 70 Hwy, Swannanoa, NC 28778-8207 | 2011-04-21 |
| 1619270501 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13461 Nc Hwy 50, Surf City, NC 28445-6553 | 2010-12-15 |
| Street Address |
625 E ROOSEVELT BLVD |
| City | MONROE |
| State | NC |
| Zip Code | 28112-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091876 | Shrujal Shah | Pharmacist | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2020-01-02 |
| 1336793744 | Erin Nicole Taylor | Pharmacist | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2019-07-25 |
| 1174045678 | Whitney Cdel Smith | Pharmacist | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2017-07-17 |
| 1902358831 | Janice Kunnakkattu | Nurse Practitioner | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2016-10-26 |
| 1588091961 | Holly Marie Mcdanel | Pharmacist | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2013-10-01 |
| 1336576776 | Charlene S Weaver | Nurse Practitioner | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2013-09-30 |
| 1558637785 | Stephanie Horner Dickson | Nurse Practitioner | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2012-04-02 |
| 1114210341 | Robin Lynnette Haltom | Pharmacist | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2011-05-20 |
| 1033299581 | Kristene C Diggins | Nurse Practitioner | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| 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 |
|---|---|---|---|---|
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1790207348 | Monroe Care Pharmacy LLC | Pharmacy | 209 Applegarth Rd, Suite 105, Monroe, NJ 08831 | 2017-07-14 |
| 1851828065 | Affinity Pharmacy At Oliver Road | Pharmacy | 920 Oliver Rd Waiting E, Monroe, LA 71201 | 2017-05-18 |
| 1518344274 | Mydesh Inc | Pharmacy | 581 Nys Route 17m, Monroe, NY 10950 | 2015-05-01 |
| 1174888689 | Pharmacy Acquisition Company LLC | Pharmacy | 108 E Sunset Dr, Monroe, NC 28112-6057 | 2012-07-10 |
| 1538466545 | Monroe Family Pharmacy Inc | Pharmacy | 14750 Laplaisance Rd, Ste 270, Monroe, MI 48161-3899 | 2011-02-28 |
| 1184876658 | Monroe Med/rx Pharmacy, P.C. | Pharmacy | 337 Stewart Rd Ste 1, Ste 1, Monroe, MI 48162 | 2008-10-16 |
| 1437341732 | Thompson's Family Pharmacy | Pharmacy | 2056 Highway 139, Monroe, LA 71203-6695 | 2007-08-10 |
| 1023173440 | Healthway Enterprises Inc | Pharmacy | 751 E Roosevelt Blvd, Monroe, NC 28112-5133 | 2006-12-26 |
| 1184786766 | S & S Pharmacy Enterprise Inc. | Pharmacy | 809 Winnsboro Rd, Monroe, LA 71202-3444 | 2006-12-14 |
| Find all providers in MONROE | ||||
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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.