NORTH CAROLINA CVS PHARMACY LLC (NPI# 1417050113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417050113 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #03985 |
| Practice Address |
215 Williamsboro St Oxford NC 27565-3330 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9196036000 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-06-10 |
| 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 | 6745 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3430496 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03985 | 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 |
215 WILLIAMSBORO ST |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720542095 | Phillip James Devillier | Pharmacist | 215 Williamsboro St, Oxford, NC 27565-3330 | 2019-01-30 |
| 1710439682 | Anitha Mathew | Pharmacist | 215 Williamsboro St, Oxford, NC 27565-3330 | 2016-10-26 |
| 1134412935 | Mary Sue Reid | Pharmacist | 215 Williamsboro St, Oxford, NC 27565-3330 | 2011-05-26 |
| 1235446154 | William J Soffera | Pharmacist | 215 Williamsboro St, Oxford, NC 27565-3330 | 2010-09-13 |
| 1679806970 | Blake Reaves | Pharmacist | 215 Williamsboro St, Oxford, NC 27565-3330 | 2009-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| 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 |
|---|---|---|---|---|
| 1497842363 | Bartles Pharmacy Inc | Pharmacy | 10 Lafayette Park, Oxford, NY 13830-0630 | 2006-10-10 |
| 1134146392 | Wal-mart Stores East Lp | Pharmacy | 1015 Lewis St, Oxford, NC 27565-6115 | 2006-07-16 |
| 1659305431 | Kroger Limited Partnership I | Pharmacy | 2013 University Ave, Oxford, MS 38655-3511 | 2006-07-10 |
| 1104876036 | Oxford Pharmacy Inc | Pharmacy | 100 Oxford Rd, Oxford, CT 06478-1990 | 2006-05-11 |
| 1538143169 | Ladd Rexall Drugs | Pharmacy | 102 W. Mc Connell St., Oxford, IN 47971-0063 | 2005-12-06 |
| 1033102884 | N.m.r.c. Pharmacy | Pharmacy | 967 Regional Center Dr, Oxford, MS 38655 | 2005-08-26 |
| 1588660245 | Rx Care Pharmacies, Inc | Pharmacy | 91 Willenbrock Rd Ste B1, Oxford, CT 06478-1036 | 2005-06-27 |
| 1669961405 | Specialized Clinical Pharmacy, LLC | Pharmacy | 1194 S 18th Street Ext, Oxford, MS 38655-5378 | 2018-05-08 |
| 1093951253 | Professional Pharmacy of Oxford | Pharmacy | 140 Roxboro Rd, Oxford, NC 27565-2642 | 2008-12-18 |
| 1710904909 | Wal-mart Stores East Lp | Pharmacy | 5720 College Corner Pike, Oxford, OH 45056-1178 | 2006-07-16 |
| Find all providers in OXFORD | ||||
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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.