CVS PHARMACY INC. (NPI# 1417979030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417979030 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY INC. |
| Other Organization Name | CVS PHARMACY #17124 |
| Practice Address |
6100 Paseo Del Norte Ne Albuquerque NM 87113-1512 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5053460136 |
| Practice Fax Number | 5053383392 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-01-09 |
| 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 | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH00004176 | NM | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 69285250 | 05 | |
| MEDICAID-DME | 42480752 | 01 | |
| PK | 2058947 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17124 | 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 |
6100 PASEO DEL NORTE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87113-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909275 | Barbara Suh | Pharmacist | 6100 Paseo Del Norte Ne, Albuquerque, NM 87113-1512 | 2018-04-12 |
| 1841535028 | Amina Akhil | Pharmacist | 6100 Paseo Del Norte Ne, Albuquerque, NM 87113-1512 | 2012-11-29 |
| 1679860472 | Susan Mary Davis | Pharmacist | 6100 Paseo Del Norte Ne, T-2031, Albuquerque, NM 87113-1512 | 2011-06-30 |
| 1043528326 | Joel Villarreal | Pharmacist | 6100 Paseo Del Norte Ne, Albuquerque, NM 87113-1512 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944613 | Wendy Valenciano Flores | Behavior Technician | 9019 Washington St Ne Building A, Albuquerque, NM 87113 | 2019-10-24 |
| 1336608504 | Southwestern Provider Services LLC | Registered Nurse | 6400 Paseo Del Norte, Albuquerque, NM 87113 | 2019-03-18 |
| 1376047795 | Anne K. Hempstead D.d.s., P.C. | Dentist | 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113 | 2018-03-20 |
| 1447769518 | Ethan Grant | Behavior Technician | 8500 Washington St Ste A1, Albuquerque, NM 87113 | 2017-09-21 |
| 1215451083 | Sarah Bartlett | Behavior Technician | 8500 Washington St, Ste A1, Albuquerque, NM 87113 | 2017-08-02 |
| 1396109906 | Cathy A Walters | Specialist/Technologist | 532 Osuna Rd Ne, Albuquerque, NM 87113 | 2016-04-09 |
| 1518389824 | Esther Sanchez | Home Health Aide | 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113 | 2014-01-07 |
| 1356775456 | Danielle Juliet Fichera | Social Worker | 315 Alameda Park Dr, Ne, Albuquerque, NM 87113 | 2013-08-26 |
| 1093053340 | Eagle Pointe Dentists and Orthodontics, LLC | Dentist | 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113 | 2013-01-22 |
| 1922346428 | Keith Levitt | Anesthesiology | 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 | 2013-01-18 |
| Find all providers in zip 87113 | ||||
| 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 |
|---|---|---|---|---|
| 1184264145 | Benzer Nm 1 LLC | Pharmacy | 2000 Carlisle Blvd Ne Ste E, Albuquerque, NM 87110-4973 | 2020-01-08 |
| 1063872455 | The Pill Box Pharmacy | Pharmacy | 1010 Bridge Blvd Sw Ste B2, Albuquerque, NM 87105-3765 | 2016-02-29 |
| 1134596976 | Genoa Healthcare, LLC | Pharmacy | 7850 Jefferson St Ne Ste 301, Albuquerque, NM 87109-4315 | 2015-08-27 |
| 1346623295 | Unm Hospital | Pharmacy | 2211 Lomas Blvd Ne # 4acc, Albuquerque, NM 87106-2719 | 2015-07-09 |
| 1417330044 | Unm Medical Group, Inc. | Pharmacy | 801 Encino Pl Ne Ste B4, Albuquerque, NM 87102-2642 | 2015-07-01 |
| 1710231733 | Home Medical Equipment Specialists LLC | Pharmacy | 10801 Golf Course Rd Nw, Albuquerque, NM 87114-6378 | 2012-10-29 |
| 1982901195 | Optum Infusion Services 308, LLC | Pharmacy | 2420 Comanche Rd Ne, Suite A-5, Albuquerque, NM 87107-4753 | 2011-02-24 |
| 1215233820 | Sw Mesa Center for Family and Community Health Pharmacy | Pharmacy | 301 Unser Blvd Nw Ste 106, Albuquerque, NM 87121-1927 | 2011-01-28 |
| 1609056035 | Vida Pharmacy LLC | Pharmacy | 8500 Jefferson St Ne, Ste D, Albuquerque, NM 87113-1883 | 2007-11-14 |
| 1023147774 | West Mesa Regent Pharmacy | Pharmacy | 5300 Sequoia Rd Nw, Suite L, Albuquerque, NM 87120-1284 | 2007-03-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87113 |
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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.