PENNSYLVANIA CVS PHARMACY LLC (NPI# 1437307881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437307881 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17370 |
| Practice Address |
4220 5th Street Hwy Temple PA 19560-1738 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6109215141 |
| Practice Fax Number | 6109215151 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2016-12-16 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481871 | PA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2116736 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17370 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104356971 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 339 E Lancaster Ave, Wynnewood, PA 19096-1920 | 2017-06-14 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1578094751 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 Sumneytown Pike, Spring House, PA 19477 | 2017-03-21 |
| 1750832465 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 501 N 22nd St, Philadelphia, PA 19130-3507 | 2016-10-18 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1588030001 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1678 Susquehanna Rd, Dresher, PA 19025 | 2015-08-19 |
| 1114393063 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 259 Market St, Philadelphia, PA 19106-4502 | 2015-08-14 |
| 1467835546 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1650 Menoher Blvd, Johnstown, PA 15905-2000 | 2015-07-07 |
| 1548641178 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1040 W Chester Pike, West Chester, PA 19382-5003 | 2015-06-09 |
| Street Address |
4220 5TH STREET HWY |
| City | TEMPLE |
| State | PA |
| Zip Code | 19560-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154554756 | Kellie Lynn Allridge | Pharmacist | 4220 5th Street Hwy, Temple, PA 19560-1738 | 2009-08-29 |
| 1598152266 | Elisa Malloy | Pharmacist | 4220 5th Street Hwy, Temple, PA 19560-1738 | 2015-04-21 |
| 1972924421 | Thomas Hubiack | Pharmacist | 4220 5th Street Hwy, Temple, PA 19560-1738 | 2014-01-01 |
| 1740621879 | Elizabeth Ann Katzenbach | Pharmacist | 4220 5th Street Hwy, Temple, PA 19560-1738 | 2013-07-17 |
| 1558626911 | Robert Anthony Cieslinski | Pharmacist | 4220 5th Street Hwy, Temple, PA 19560-1738 | 2012-07-11 |
| 1467746727 | Harry William Rotter | Pharmacist | 4220 5th Street Hwy, Temple, PA 19560-1738 | 2011-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911127 | Willie Marvin Hutchinson | Counselor | 1017 Highview Court, Temple, PA 19560 | 2017-06-08 |
| 1295981082 | Giant Food Stores, LLC | Durable Medical Equipment & Medical Supplies | 4320 N. 5th Street Hwy, Temple, PA 19560 | 2008-08-12 |
| 1174691802 | Donna Marie Di Jinio | Dentist | 4729 Kutztown Road, Temple, PA 19560 | 2006-12-01 |
| 1437176252 | Muhlenberg Medical Associates | Internal Medicine | 4201 Kutztown Road, Temple, PA 19560 | 2006-07-16 |
| 1407839368 | Sailaja Musunuri | Psychiatry & Neurology | 8th Avenue & Hay Rd, Kidspeace National Centers Berks Campus, Temple, PA 19560 | 2005-11-23 |
| 1437625530 | Kelsey Sara Reich | Specialist/Technologist | 400 Sharp Ave, Laureldale, PA 19560 | 2018-10-17 |
| 1467597161 | Kidspeace National Centers, Inc. | Nursing Care | 704 Hay Rd, Temple, PA 19560 | 2007-02-20 |
| 1386710432 | Brian S Klee Dpm | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-11-28 |
| 1932207875 | Lawrence Capozello | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-09-21 |
| 1528021284 | Richard P Christoph | Optometrist | 5370 Allentown Pike, Inside Wal-mart Vision Ctr., Temple, PA 19560-1200 | 2006-04-11 |
| Find all providers in zip 19560 | ||||
| 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 |
|---|---|---|---|---|
| 1831267814 | Baylor Health Enterprises Lp | Pharmacy | 937 Canyon Creek Dr, Temple, TX 76502-3293 | 2006-11-30 |
| 1619081601 | Kings Daughters Pharmacy LLC | Pharmacy | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2006-08-18 |
| 1952315913 | Baylor Health Enterprises Lp | Pharmacy | 1605 S 31st St, Ste 19, Temple, TX 76508-5385 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506561 | Temple Community Pharmacy | Pharmacy | 3535 N 5th Street Hwy Ste 2, Reading, PA 19605-1703 | 2020-07-29 |
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| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 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.