CVS PHARMACY INC (NPI# 1376830067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376830067 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY INC |
| Other Organization Name | CVS PHARMACY #04880 |
| Practice Address |
805 W Business Hwy 380 Decatur TX 76234 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9406264889 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2014-07-14 |
| Authorized Official Name | SUSAN 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 |
|---|---|---|---|
| TX | 466750 | 05 | |
| TX | MEDICAID DME | 287654201 | 01 |
| NCPDP | 5903516 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #04880 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881217560 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4000 W Spring Creek Pkwy, Plano, TX 75024-5229 | 2020-05-28 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1891315412 | Cvs Pharmacy Inc | Pharmacy | 17977 Fm 529 Rd, Houston, TX 77095-1005 | 2020-04-23 |
| 1144855610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3232 Meridiana Pkwy, Rosharon, TX 77583 | 2020-03-05 |
| 1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
| 1477183275 | Cvs Pharmacy Inc | Pharmacy | 4005 E 8th Pl, Denver, CO 80220-3942 | 2020-01-21 |
| 1750924262 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1933 Heritage Trace Pkwy, Fort Worth, TX 76177-0000 | 2019-10-28 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1477100386 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1915 Broadway St Ste 101, San Antonio, TX 78215-1133 | 2019-08-26 |
| 1750937066 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 Bailey Ranch Rd, Aledo, TX 76008 | 2019-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CVS Pharmacy Inc. | 1 Cvs Dr, Woonsocket, Rhode Island 02895-6146 |
| Street Address |
805 W BUSINESS HWY 380 |
| City | DECATUR |
| State | TX |
| Zip Code | 76234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| 1154518264 | Bryan James Dulock | Nurse Anesthetist, Certified Registered | 604 Medical Center Dr, Decatur, TX 76234 | 2007-10-02 |
| Find all providers in zip 76234 | ||||
| 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 |
|---|---|---|---|---|
| 1699372771 | The Medicine Shoppe | Pharmacy | 2006 Danville Rd Sw Ste C, Decatur, AL 35601-4640 | 2020-10-02 |
| 1760990246 | 2136 Total Pharmacy LLC | Pharmacy | 2136 Candler Rd, Decatur, GA 30032-5572 | 2018-01-18 |
| 1336527217 | Med Rx Pharmacy Inc | Pharmacy | 4153 Flat Shoals Pkwy Ste 106, Decatur, GA 30034-4106 | 2015-05-12 |
| 1093108805 | Solaris Pharmacy | Pharmacy | 1308 E Old Chico Rd, Decatur, TX 76234-3405 | 2015-03-18 |
| 1306243605 | Rxmtm Consultants LLC | Pharmacy | 3164 Glenwood Rd, Decatur, GA 30032-4155 | 2014-12-02 |
| 1952704892 | Wal-mart Stores Inc | Pharmacy | 154 E Roller Ave, Decatur, AR 72722-9446 | 2014-10-07 |
| 1528495660 | National Prescription | Pharmacy | 2107 N Decatur Rd Ste 190, Decatur, GA 30033-5305 | 2013-10-03 |
| 1760723878 | Gfpi L.L.C. - Guice Pharmacy | Pharmacy | 1416 6th Ave Se Unit D, Decatur, AL 35601-4247 | 2013-03-14 |
| 1851666069 | Sondial Pharmacy, LLC | Pharmacy | 1428 Scott Blvd Ste C, Decatur, GA 30030-1424 | 2012-03-21 |
| 1295045573 | Genoa Healthcare, LLC | Pharmacy | 151 N Main St Rm 332, Decatur, IL 62523-1206 | 2010-10-20 |
| Find all providers in DECATUR | ||||
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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.