CVS ALBANY LLC (NPI# 1407959240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407959240 |
| Entity Type | Organization |
| Organization Name | CVS ALBANY LLC |
| Other Organization Name | CVS PHARMACY # 05054 |
| Practice Address |
100 E Lake Blvd Mahopac NY 10541-1693 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8456217088 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-09 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 21538 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3325253 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 05054 | 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 |
100 E LAKE BLVD |
| City | MAHOPAC |
| State | NY |
| Zip Code | 10541-1693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861965485 | Ryan Quinn Peneyra Guilaran | Pharmacist | 100 E Lake Blvd, Mahopac, NY 10541 | 2019-01-07 |
| 1477731701 | Elizabeth Ann Kirkman | Pharmacist | 100 E Lake Blvd, Mahopac, NY 10541-1693 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216539 | Erin Grace Ricciardi | Speech-Language Pathologist | 572 Us-6, Mahopac, NY 10541 | 2020-05-15 |
| 1053963264 | Jaleesa Lucas | Occupational Therapy Assistant | 530 Us-6, Mahopac, NY 10541 | 2019-07-09 |
| 1437717535 | Michelle Gervasi | Registered Nurse | 182 Bullethole Rd, Mahopac, NY 10541 | 2019-06-03 |
| 1952968448 | Landman General and Implant Dentistry, Pllc | Clinic/Center | Landman Dentistry By The Lake Pllc, 21 Clark Pl, Mahopac, NY 10541 | 2019-05-21 |
| 1063995934 | Amanda Jean Basting | Speech-Language Pathologist | 572 Us 6, Mahopac, NY 10541 | 2018-09-07 |
| 1669980801 | Kelly Marie Banker | Early Intervention Provider Agency | 120 Vista Terrace S., Mahopac, NY 10541 | 2018-01-22 |
| 1154831485 | Sheila A Samuels | Registered Nurse | 214 Willow Drive, Mahopac, NY 10541 | 2017-09-29 |
| 1215476031 | Rachek Glock | Pharmacist | 100 East Lake Blvd, Mahopac, NY 10541 | 2017-02-13 |
| 1831646223 | Catherine Westcott | Specialist | 23 Stuart Road, Mahopac, NY 10541 | 2016-09-02 |
| 1871925263 | Mansi Upadhyaya | Pharmacist | 100 East Lake Boulevard, Mahopac, NY 10541 | 2013-08-07 |
| Find all providers in zip 10541 | ||||
| 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 |
|---|---|---|---|---|
| 1003847153 | K Mart Corp | Pharmacy | 987 Rt 6 and Baldwin Plaza, Mahopac, NY 10541 | 2006-07-06 |
| 1962493452 | Mahopac Pharmacy Inc. | Pharmacy | 936 S Lake Blvd, Mahopac, NY 10541-3242 | 2005-11-02 |
| 1396073060 | Nacsip Inc | Pharmacy | 559 Route 6, Mahopac, NY 10541-4712 | 2009-11-18 |
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| 1437758141 | North Shore Chemists LLC | Pharmacy | 800 Northern Blvd Ste 4, Great Neck, NY 11021-5314 | 2020-10-22 |
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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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.