CVS ALBANY LLC (NPI# 1316040157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316040157 |
| Entity Type | Organization |
| Organization Name | CVS ALBANY LLC |
| Other Organization Name | CVS PHARMACY# 06053 |
| Practice Address |
2045 Forest Ave Staten Island NY 10303 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7189828019 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-05-18 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 21887 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3338844 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY# 06053 | 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 |
2045 FOREST AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588195952 | Jimmy Yang | Pharmacist | 2045 Forest Ave, Staten Island, NY 10303-1734 | 2017-03-27 |
| 1245654037 | Cvs Pharmacy | Clinic/Center | 2045 Forest Ave, Staten Island, NY 10303-1734 | 2014-02-13 |
| 1962758680 | Min Wei Li | Pharmacist | 2045 Forest Ave, Staten Island, NY 10303-1734 | 2012-07-31 |
| 1245553692 | Anthony Piccione | Pharmacist | 2045 Forest Ave, Staten Island, NY 10303-1734 | 2010-03-12 |
| 1851614549 | Amna Fazal | Pharmacist | 2045 Forest Ave, Staten Island, NY 10303-1734 | 2010-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580297 | Krisiya Ilianna Deschamps-perez | Registered Nurse | 12 Kinsey Pl, Staten Island, NY 10303 | 2019-04-15 |
| 1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
| 1396289815 | Lateefat Onitiri | Licensed Practical Nurse | 21 Wright Avenue, Staten Island, NY 10303 | 2016-12-19 |
| 1922466101 | Lydia Ogaja | Registered Nurse | 176 B Netherland Avenue, Staten Island, NY 10303 | 2016-02-03 |
| 1679994594 | Sibi Abraham | Physical Therapist | 2324 Forest Ave Ny, Staten Island, NY 10303 | 2013-12-18 |
| 1750633442 | Geraldine Gamboa | Physical Therapist | 939 Goethals Road North, Unit 1, Staten Island, NY 10303 | 2012-10-05 |
| 1710235635 | Michael J. Tighe | Specialist | 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 | 2012-08-27 |
| 1710232798 | Funmilola Azeezat Kolawole | Licensed Practical Nurse | 85 Lockman Av, Staten Island, NY 10303 | 2012-07-17 |
| 1396013520 | Destiny Rodriguez | Interpreter | 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 | 2011-12-02 |
| 1497043756 | Margaret Ultra Home Care Inc. | Licensed Practical Nurse | 271b Maple Parkway, Staten Island, NY 10303 | 2011-07-20 |
| Find all providers in zip 10303 | ||||
| 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 |
|---|---|---|---|---|
| 1609351956 | Ismaeel Pharmacy Inc | Pharmacy | 280 Broadway # Store1, Staten Island, NY 10310-2055 | 2018-10-02 |
| 1487132064 | Bay Rx Inc | Pharmacy | 47 Broad St, Staten Island, NY 10304-2608 | 2018-08-05 |
| 1053805788 | Castleton Chemists LLC | Pharmacy | 831 Castleton Ave, Staten Island, NY 10310 | 2018-06-16 |
| 1275043200 | Gvm Pharmacy Inc | Pharmacy | 203 Old Town Rd, Staten Island, NY 10305-1415 | 2017-10-04 |
| 1881068971 | Enjoy Pharmaceutical Services | Pharmacy | 3927 Amboy Rd, Staten Island, NY 10308-2421 | 2015-11-30 |
| 1851762256 | Regal Remedies Rx Inc | Pharmacy | 19a Olympia Blvd, Staten Island, NY 10305-4309 | 2015-10-12 |
| 1477923266 | Mannix Family Market At Veterans Road LLC | Pharmacy | 3010 Veterans Rd W, Staten Island, NY 10309-2510 | 2015-10-06 |
| 1407285216 | Richmond Valley Pharmacy Inc | Pharmacy | 4888 Arthur Kill Rd, Staten Island, NY 10309-2633 | 2013-11-02 |
| 1003250614 | Health Aid Pharmacy II Inc | Pharmacy | 1781 Richmond Rd, Staten Island, NY 10306-2524 | 2013-04-25 |
| 1982940763 | Staten Island Pharmacy Inc. | Pharmacy | 1807 Victory Blvd, Staten Island, NY 10314-3515 | 2012-12-23 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10303 |
Please comment or provide details below to improve the information on CVS ALBANY LLC.
| 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.