CVS CAREMARK (NPI# 1215481460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215481460 |
| Entity Type | Organization |
| Organization Name | CVS CAREMARK |
| Practice Address |
404 Ramsey St Fayetteville NC 28301-4910 |
| Practice Telephone | 9104841106 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | DUSTIN EDGE (PHARMACY SUPERVISOR) |
| Authorized Official Telephone | 9104240317 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 24653 | NC | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013387554 | Cvs Caremark | Pharmacist | 102 Roberts Lake Cir, Apt 201, Arden, NC 28704-0405 | 2015-09-27 |
| 1750835195 | Cvs Caremark | Pharmacy | 4401 Highway 17 S, North Myrtle Beach, SC 29582-5254 | 2016-08-13 |
| 1053788356 | Cvs Caremark | Clinic/Center | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2015-08-21 |
| 1457727968 | Cvs Caremark | Pharmacy | 19100 Montgomery Village Ave, Gaithersburg, MD 20886-3701 | 2015-08-19 |
| 1972994721 | Cvs Caremark | Health Maintenance Organization | 8300 Norman Center Dr, 8th Floor, Bloomington, MN 55437-1027 | 2015-02-16 |
| 1194124875 | Cvs Caremark | Pharmacist | 7607 Greenbelt Rd, Greenbelt, MD 20770-3404 | 2014-08-18 |
| 1821405937 | Cvs Caremark | Pharmacy | 2005 N Dobson Rd, Chandler, AZ 85224-2294 | 2014-07-21 |
| 1134478977 | Cvs Caremark | Clinic/Center | 2580 Woodruff Rd, Simpsonville, SC 29681 | 2012-09-07 |
| 1699098889 | Cvs Caremark | Pharmacy | 3916 Carman Rd, 3916 Carman Road, Schenectady, NY 12303-5608 | 2010-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CVS CAREMARK | 105 Mall Blvd Ste 301, Monroeville, PA 15146-2218 |
| Oklahoma Business Registrations | CVS CAREMARK ADVANCED TECHNOLOGY PHARMACY, L.L.C. | One Cvs Dr, Woonsocket, RI 02895 |
| Vermont Business Registrations | CVS CAREMARK ADVANCED TECHNOLOGY PHARMACY, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Street Address |
404 RAMSEY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093818775 | North Carolina Cvs Pharmacy LLC | Pharmacy | 404 Ramsey St, Fayetteville, NC 28301-4910 | 2006-09-07 |
| 1982129797 | Jacob Michael Wilhelm | Pharmacist | 404 Ramsey St, Fayetteville, NC 28301-4910 | 2017-08-14 |
| 1821424177 | Denise Huggins | Pharmacist | 404 Ramsey St, Fayetteville, NC 28301-4910 | 2013-09-18 |
| 1457660698 | Lisa Lafollette | Pharmacist | 404 Ramsey St, Fayetteville, NC 28301-4910 | 2010-10-06 |
| 1265741250 | Bertina Walker | Pharmacist | 404 Ramsey St, Fayetteville, NC 28301-4910 | 2010-09-24 |
| 1427366608 | Brian S Gamble | Pharmacist | 404 Ramsey St, Fayetteville, NC 28301-4910 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013362284 | Better Communities | Preferred Provider Organization | 2149 Valleygate Dr Ste 101, Fayetteville, NC 28304-3666 | 2016-04-25 |
| 1144481458 | New Hope Chiropractic Clinic, LLC | Preferred Provider Organization | 740 Glynn St N Ste E, Fayetteville, GA 30214-6707 | 2008-06-19 |
| 1467557074 | Spigner Management Systems, Inc. | Preferred Provider Organization | 601 Mann St, Fayetteville, NC 28301-6239 | 2006-09-14 |
| 1548697568 | Rf Medical Services LLC | Preferred Provider Organization | 705 Cumberland St, Fayetteville, NC 28301-7020 | 2013-10-04 |
| 1497041032 | J J Compassionate Home Care | Preferred Provider Organization | 111 Lamon St, Suite 207, Fayetteville, NC 28301-4901 | 2011-06-22 |
| 1386882728 | J&j Home Care Agency | Preferred Provider Organization | 111 Lamon St, Suite 216, Fayetteville, NC 28301-4901 | 2009-01-22 |
| 1710130299 | Angelic Community & Family Services of Cumberland Count | Preferred Provider Organization | 1014 Hay St, Fayetteville, NC 28305-5316 | 2008-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299663 | Family Focused Network | Preferred Provider Organization | 5320 Wisbech Ct, Charlotte, NC 28215-5057 | 2016-12-07 |
| 1407304710 | Erfan Imeni Kashani D.d.s. Pllc | Preferred Provider Organization | 2609 N Duke St Ste 501, Durham, NC 27704-3019 | 2016-09-15 |
| 1427411339 | Jordan C Poole | Preferred Provider Organization | 9 English Ivy Rd, Asheville, NC 28806-5514 | 2016-03-30 |
| 1528429479 | Elliott's Veteran Support Group | Preferred Provider Organization | 201 Strickland Dr, Princeville, NC 27886-9549 | 2016-03-18 |
| 1568857688 | Psychotherapeutic Community Services Assoc | Preferred Provider Organization | 400 W Main St Ste 501, Durham, NC 27701-3295 | 2015-04-06 |
| 1902236961 | Enhancement Health Care, Inc. | Preferred Provider Organization | 2801 Darrow Rd, Durham, NC 27704-2417 | 2013-11-12 |
| 1043646052 | Comfort Zone In-home Healthcare | Preferred Provider Organization | 2400 Wilkes St, High Point, NC 27260-8272 | 2013-09-23 |
| 1255779161 | Mitzi Elaine Phillips | Preferred Provider Organization | 6985 Nuggett Dr, Morganton, NC 28655-7994 | 2013-06-13 |
| 1669712063 | Neogenesis Foundation | Preferred Provider Organization | 3959 Sterling Pointe Dr, Winterville, NC 28590-5800 | 2013-02-21 |
| 1891058210 | Mcclain's Family Care Home #1 | Preferred Provider Organization | 5953 The Plaza, Charlotte, NC 28215-2451 | 2012-06-20 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on CVS CAREMARK.
| 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.