OHIO CVS STORES LLC (NPI# 1285737932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285737932 |
| Entity Type | Organization |
| Organization Name | OHIO CVS STORES LLC |
| Other Organization Name | CVS PHARMACY #06176 |
| Practice Address |
1049 W 4th St Ontario OH 44906-1945 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4195296001 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| 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 | 022011400-03 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3635616 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #06176 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639724487 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 6030 N Hamilton Rd, Westerville, OH 43081-1685 | 2019-08-08 |
| 1942797345 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1892 North High St, Columbus, OH 43210 | 2018-04-20 |
| 1922524859 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2104 S. Byrne Rd, Toledo, OH 43614 | 2017-08-22 |
| 1124575865 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 210 E Emmitt Ave, Waverly, OH 45690-1336 | 2016-09-09 |
| 1154721264 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10560 Sawmill Rd, Powell, OH 43065 | 2014-08-26 |
| 1043626138 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2210 West Tuscarawas St, Canton, OH 44708 | 2014-07-09 |
| 1033545991 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 3761 Massilon Rd, Green, OH 44685 | 2013-09-23 |
| 1225461874 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 212 E Wooster St, Bowling Green, OH 43402-2921 | 2013-08-19 |
| 1477844926 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1130 Lincoln Way East, Massillon, OH 44646 | 2011-05-02 |
| 1922398437 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 7292 Fulton Dr Nw, Canton, OH 44718-1525 | 2011-04-18 |
| Street Address |
1049 W 4TH ST |
| City | ONTARIO |
| State | OH |
| Zip Code | 44906-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| 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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| 1952815409 | Cal2000 Pharmacy Inc | Pharmacy | 326 E Holt Blvd Ste E, Ontario, CA 91761-1635 | 2017-11-20 |
| 1790202323 | Genoa Healthcare, LLC | Pharmacy | 702 Sunset Dr Ste P1, Ontario, OR 97914-3121 | 2017-08-24 |
| 1689940991 | Kaiser Foundation Hospitals | Pharmacy | 2295 S Vineyard Ave Bldg H, Ontario, CA 91761-7925 | 2012-03-30 |
| 1053555037 | Kaiser Foundation Hospitals | Pharmacy | 2295 S Vineyard Ave Ste B, Ontario, CA 91761-7927 | 2009-04-22 |
| 1841471190 | Tops Markets LLC | Pharmacy | 6272 Furnace Rd, Ontario, NY 14519-8974 | 2007-11-15 |
| 1245387570 | Kaiser Foundation Health Plan Inc | Pharmacy | 2295 S Vineyard Ave Fl 1, Ontario, CA 91761-7925 | 2007-01-05 |
| 1023053030 | Discount Drug Mart Inc | Pharmacy | 25 Briggs Dr, Ontario, OH 44906-3805 | 2006-06-17 |
| 1699730291 | Alliance Medical Equipment & Resp. Pharmacy, Inc | Pharmacy | 3100 E Cedar St, Suite 13, Ontario, CA 91761-7693 | 2006-04-18 |
| 1457720047 | Kaiser Foundation Health Plan Inc | Pharmacy | 2295 S Vineyard Ave, Bldg A Bsmt Rm 03r16, Ontario, CA 91761-7922 | 2015-09-24 |
| 1386933885 | Kaiser Foundation Health Plan Inc | Pharmacy | 2295 S Vineyard Ave Bldg D, Floor 1, Ontario, CA 91761-7925 | 2011-04-05 |
| Find all providers in ONTARIO | ||||
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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.