NORTH CAROLINA CVS PHARMACY LLC (NPI# 1508969379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508969379 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #04391 |
| Practice Address |
1845 Martin Luther King Pkwy Durham NC 27707-3585 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9194896573 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-06-06 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 6606 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3416939 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #04391 | 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 |
1845 MARTIN LUTHER KING PKWY |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363210 | Sara Amirsadri | Pharmacist | 1845 Martin Luther King Pkwy, Durham, NC 27707-3585 | 2020-10-14 |
| 1639694524 | Ashley Press | Pharmacist | 1845 Martin Luther King Pkwy, Durham, NC 27707-3585 | 2017-08-11 |
| 1619268364 | Kathryn Richards | Pharmacist | 1845 Martin Luther King Pkwy, Durham, NC 27707-3585 | 2011-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| 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 |
|---|---|---|---|---|
| 1720692908 | Geriatrx | Pharmacy | 1655 Snowmass Way, Durham, NC 27713-4514 | 2020-09-03 |
| 1053682146 | Duke University Health System Inc | Pharmacy | 20 Duke Medicine Cir Rm N44, Durham, NC 27710-2000 | 2012-01-20 |
| 1588705388 | North Carolina Specialty Hospital Pharmacy Dept. | Pharmacy | 3916 Ben Franklin Boulevard, Durham, NC 27704-0819 | 2007-02-12 |
| 1144374596 | Main Street Pharmacy LLC | Pharmacy | 213 W Main St Ste A, Durham, NC 27701-3258 | 2007-01-23 |
| 1740377613 | Triangle Pharmacy Inc | Pharmacy | 1700 E Highway 54, Durham, NC 27713 | 2006-10-10 |
| 1053404483 | Clinic Pharmacy of Durham Inc | Pharmacy | 2726 Croasdaile Dr Ste 104, Durham, NC 27705-2500 | 2006-09-30 |
| 1962512665 | Kerr Drug Inc | Pharmacy | 3600 N Duke St, Durham, NC 27704-1709 | 2006-08-30 |
| 1760592463 | Kerr Drug Inc | Pharmacy | 710 Fayetteville St, Durham, NC 27701-3911 | 2006-08-30 |
| 1609891308 | Kroger Limited Partnership I | Pharmacy | 3457 Hillsborough Rd, Durham, NC 27705-3008 | 2006-07-13 |
| 1285668061 | Kroger Limited Partnership I | Pharmacy | 3420 Sw Durham Dr, Patterson Place, Durham, NC 27707-3351 | 2006-07-10 |
| Find all providers in DURHAM | ||||
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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.