NORTH CAROLINA CVS PHARMACY LLC (NPI# 1407959844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407959844 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #04622 |
| Practice Address |
3625 S College Rd Wilmington NC 28412-2003 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9103958248 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-07-03 |
| 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 | 6817 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RR | P00754583 | 01 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3431525 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #04622 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1821465568 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3001 Hillsborough St, Suite 100, Raleigh, NC 27607-5434 | 2015-08-28 |
| 1437492246 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 N Sandhills Blvd, Aberdeen, NC 28315-2304 | 2013-03-29 |
| 1790022671 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 100 Grand Hill Pl, Holly Springs, NC 27540-4416 | 2013-01-11 |
| 1518202209 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1025 Nc 24-87, Cameron, NC 28326-6954 | 2012-12-06 |
| 1043588627 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1132 East Cutlar Crossing, Leland, NC 28451-6426 | 2011-12-09 |
| 1639456502 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7496 Rockfish Rd, Fayetteville, NC 28306-8076 | 2011-11-07 |
| 1003195801 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3001 Market Center Dr, Morrisville, NC 27560-7505 | 2011-08-10 |
| 1295026565 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2351 Us 70 Hwy, Swannanoa, NC 28778-8207 | 2011-04-21 |
| 1619270501 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13461 Nc Hwy 50, Surf City, NC 28445-6553 | 2010-12-15 |
| Street Address |
3625 S COLLEGE RD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657685 | Dominic Ciccocioppo | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2020-07-23 |
| 1205287315 | Laura Stein | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2016-06-29 |
| 1265809750 | Amanda Lingerfelt | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2015-08-31 |
| 1144624867 | Hugh Ruger Jr. | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2014-10-09 |
| 1366724593 | Daniel James Urban | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2011-09-14 |
| 1407142524 | Howard Russell Clark | Pharmacist | 3625 S College Rd, Wilmington, NC 28412-2003 | 2011-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| 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 |
|---|---|---|---|---|
| 1699395483 | Pbrx Health Inc | Pharmacy | 3311 Old Capitol Trl Ste B, Wilmington, DE 19808-6209 | 2020-04-21 |
| 1235676669 | Saigon Express Pharmacy Inc | Pharmacy | 3613 Silverside Rd, Wilmington, DE 19810-5101 | 2017-01-24 |
| 1760843734 | Express Discount Pharmacy LLC | Pharmacy | 4528 Kirkwood Hwy Ste A, Wilmington, DE 19808-5126 | 2016-03-17 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1093107864 | New Hanover Regional Medical Center | Pharmacy | 151 Scotts Hill Medical Dr, Wilmington, NC 28411-7983 | 2015-03-03 |
| 1245582089 | Tps Rx | Pharmacy | 2250 Shipyard Blvd Ste 11, Wilmington, NC 28403-8070 | 2012-10-03 |
| 1154615128 | Behavioral Health Pharmacy Innovations, LLC | Pharmacy | 2033 Corporate Dr, Ste B2, Wilmington, NC 28405-7464 | 2011-06-07 |
| 1386943934 | D Enterprises Peoples Pharmacy | Pharmacy | 2701 N Washington St, Wilmington, DE 19802-3535 | 2011-03-22 |
| 1124112537 | Krx Inc | Pharmacy | 4202 Oleander Dr, Wilmington, NC 28403-6822 | 2006-10-03 |
| 1912098732 | The Medicine Cabinet Inc | Pharmacy | 228 E Anaheim St, Wilmington, CA 90744-4516 | 2006-09-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
Please comment or provide details below to improve the information on NORTH CAROLINA CVS PHARMACY 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.