CVS PHARMACY INC. (NPI# 1336300425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336300425 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY INC. |
| Other Organization Name | CVS PHARMACY # |
| Practice Address |
3061 Wildflower Dr Bryan TX 77802-3060 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9797741481 |
| Practice Fax Number | 9797741491 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | SUSAN COLBERT (SR. 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
30523 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2101426 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012805 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 129 Shahan Prairie Rd, Oak Point, TX 75068 | 2020-10-30 |
| 1932719226 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 500 Geneva Ave, Dorchester, MA 02122-1321 | 2020-08-03 |
| 1881248532 | Cvs Pharmacy Inc. | Pharmacy | 4333 W Jefferson Blvd, Cockrell Hill, TX 75211-4622 | 2019-07-31 |
| 1326600909 | Cvs Pharmacy Inc. | Pharmacy | 13343 Culebra Rd, San Antonio, TX 78253-6901 | 2019-07-03 |
| 1346800604 | Cvs Pharmacy Inc. | Pharmacy | 7979 Belt Line Rd, Dallas, TX 75254-8129 | 2019-06-19 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| 1811400021 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 9060 Dyer St, El Paso, TX 79904-1406 | 2017-11-09 |
| 1205348075 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 3200 N Big Spring St, Midland, TX 79705-5315 | 2017-11-01 |
| 1558872143 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 9215 Midway Rd, Dallas, TX 75220-3846 | 2017-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CVS Pharmacy Inc. | 1 Cvs Dr, Woonsocket, Rhode Island 02895-6146 |
| Street Address |
3061 WILDFLOWER DR |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689704751 | Jamie Lea Killingsworth | Pharmacist | 3061 Wildflower Dr, Bryan, TX 77802-3060 | 2007-03-06 |
| 1477927465 | John Herman | Pharmacist | 3061 Wildflower Dr, Bryan, TX 77802-3060 | 2015-11-14 |
| 1013326990 | Logan Denise Connor | Pharmacist | 3061 Wildflower Dr, Bryan, TX 77802-3060 | 2014-08-05 |
| 1013270198 | Megan Louise Moonjian | Pharmacist | 3061 Wildflower Dr, Bryan, TX 77802-3060 | 2012-06-22 |
| 1295013936 | Stacey French | Pharmacist | 3061 Wildflower Dr, Bryan, TX 77802-3060 | 2011-07-29 |
| 1346536539 | Sunni Hoefler | Pharmacist | 3061 Wildflower Dr, Bryan, TX 77802-3060 | 2011-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863636 | Bryan Pharmacy LLC | Pharmacy | 4103 S Texas Ave Ste 216, Bryan, TX 77802-4043 | 2020-05-21 |
| 1952920076 | Kumud S Tripathy and Associates | Pharmacy | 2215 E Villa Maria Rd Ste 120, Bryan, TX 77802-2585 | 2020-04-09 |
| 1376647180 | Cvs Pharmacy Inc | Pharmacy | 3000 S Texas Ave, Bryan, TX 77802-3121 | 2006-09-12 |
| 1992808711 | Ohio Cvs Stores LLC | Pharmacy | 341 W High St, Bryan, OH 43506-1615 | 2006-09-07 |
| 1508811357 | Skico Inc | Pharmacy | 1425 E High St, Bryan, OH 43506-9494 | 2006-05-23 |
| 1831514298 | St Joseph Regional Health Ctr | Pharmacy | 2601 Osler Blvd, Bryan, TX 77802-2516 | 2014-02-21 |
| 1528104148 | Village Foods Ltd | Pharmacy | 3030 E 29th St, Suite 100, Bryan, TX 77802-2757 | 2007-01-30 |
| 1518066836 | Brookshire Brothers Inc | Pharmacy | 210 N Main St, Bryan, TX 77803-3236 | 2006-09-22 |
| 1801900899 | Rjmtz Pharmacy LLC | Pharmacy | 3201 University Dr E, Suite 145, Bryan, TX 77802-3475 | 2006-08-18 |
| 1619959681 | Cvs Pharmacy Inc | Pharmacy | 2300 De Lee St, Bryan, TX 77802-2815 | 2005-11-16 |
| Find all providers in BRYAN | ||||
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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.