ARIZONA CVS STORES LLC (NPI# 1285930164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285930164 |
| Entity Type | Organization |
| Organization Name | ARIZONA CVS STORES LLC |
| Other Organization Name | CVS PHARMACY #08983 |
| Practice Address |
5125 W Olive Ave Glendale AZ 85302-4213 |
| Mailing Address |
Po Box 1075 Pharmacy Enrollments Woonsocket RI 02895-0803 |
| Practice Telephone | 6239310882 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-06-17 |
| Authorized Official Name | MRS. 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 601451 | 05 | |
| NCPDP | 0356964 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #08983 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549181 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 24865 N Lake Pleasant Parkway, Peoria, AZ 85383-1280 | 2014-04-17 |
| 1780620831 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 305 E Brown Rd, Mesa, AZ 85201-3505 | 2006-06-20 |
| 1962448043 | Arizona Cvs Stores LLC | Pharmacy | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2006-06-20 |
| 1871539924 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 325 W Apache Trail, Apache Junction, Apache Junction, AZ 85120-3954 | 2006-06-20 |
| 1013952019 | Arizona Cvs Stores LLC | Pharmacy | 1555 S Avenue B, Yuma, AZ 85364-4584 | 2006-06-17 |
| 1245274596 | Arizona Cvs Stores LLC | Pharmacy | 3785 W Ina Rd, Tucson, AZ 85741-2247 | 2006-06-16 |
| 1518901867 | Arizona Cvs Stores LLC | Pharmacy | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2006-06-16 |
| 1972547222 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10720 W Bell Rd, Sun City, AZ 85351-1073 | 2006-06-16 |
| 1063456317 | Arizona Cvs Stores LLC | Pharmacy | 2090 E Fry Blvd, Sierra Vista, AZ 85635-2707 | 2006-06-16 |
| 1841234218 | Arizona Cvs Stores LLC | Pharmacy | 23215 N Pima Rd, Scottsdale, AZ 85255-4315 | 2006-06-16 |
| Street Address |
5125 W OLIVE AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-4213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972904910 | Lehni Wickes | Pharmacist | 5125 W Olive Ave, Glendale, AZ 85302-4204 | 2014-09-09 |
| 1073927232 | Thomas Combahee | Pharmacist | 5125 W Olive Ave, Glendale, AZ 85302-4204 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| 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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| 1124556196 | Glendale Chemist LLC | Pharmacy | 6801 Myrtle Ave, Glendale, NY 11385-7267 | 2017-06-02 |
| 1225581275 | Dennis Karasek Md Pllc | Pharmacy | 18555 N 79th Ave Ste D107, Glendale, AZ 85308-6040 | 2016-07-26 |
| 1538521588 | Spectra Scripts Pharmacy Inc | Pharmacy | 567 W Glenoaks Blvd, Glendale, CA 91202-2858 | 2016-03-28 |
| 1184081515 | Hep Pharmacy Inc | Pharmacy | 900 W Glenoaks Blvd, Suite G, Glendale, CA 91202-2663 | 2016-01-15 |
| 1588040786 | Glendale Adventist Medical Center | Pharmacy | 1509 Wilson Ter Rm 4b13, Glendale, CA 91206-4007 | 2015-08-11 |
| 1265813943 | Trinity Rx, Corp. | Pharmacy | 7521 Myrtle Ave, Glendale, NY 11385-7419 | 2015-06-18 |
| 1215350327 | Jeeva LLC | Pharmacy | 501 W Glenoaks Blvd Ste 12, Glendale, CA 91202-4041 | 2014-01-24 |
| 1902248453 | Unichoice, Inc | Pharmacy | 1436 W Glenoaks Blvd, Suite A, Glendale, CA 91201-1984 | 2013-07-25 |
| 1790090280 | Avs Pharmacy Inc | Pharmacy | 511 1/2 E Broadway, Glendale, CA 91205-1110 | 2010-08-10 |
| Find all providers in GLENDALE | ||||
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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.