NEW JERSEY CVS PHARMACY LLC (NPI# 1518065333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518065333 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 06872 |
| Practice Address |
725 State Route 10 Randolph NJ 07869 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9738953401 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RS00662300 | NJ | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ MEDICAID DME # | 0163015 | 01 |
| NJ | 0115924 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3193581 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 06872 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125684 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1570 Route 38, Lumberton, NJ 08048-2932 | 2019-10-11 |
| 1952959272 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2311 Route 206, Suite 600, Belle Mead, NJ 08502 | 2019-08-29 |
| 1821652611 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1200 Highway 35, Middletown, NJ 07748-2013 | 2019-04-26 |
| 1083183594 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 30 Belvidere Ave, Washington, NJ 07882-1415 | 2018-11-14 |
| 1568912558 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 457 Route 46, Rockaway, NJ 07866 | 2016-10-13 |
| 1336699321 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 29 Vervalen St, Closter, NJ 07624 | 2016-10-13 |
| 1821545435 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3503 Route 46, Parsippany, NJ 07054 | 2016-09-01 |
| 1841662103 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1801 State Route 71, Wall, NJ 07719-3227 | 2015-10-27 |
| 1720459936 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4251 U.S. Hwy 9, Howell, NJ 07731-3379 | 2015-10-14 |
| 1336519149 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Atlantic City Blvd, Beachwood, NJ 08722-2800 | 2015-10-06 |
| Street Address |
725 STATE ROUTE 10 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| 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 |
|---|---|---|---|---|
| 1376089706 | Jre Ave Maria LLC | Pharmacy | 124 Route 10, Unit 4, Randolph, NJ 07869-2415 | 2017-01-09 |
| 1083660385 | Dennis K Zink & Clair C Inkley Ptr | Pharmacy | 113 Main St, Randolph, NY 14772-1131 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495544 | Medilink Rxcare Hammonton, LLC | Pharmacy | 44 S White Horse Pike, Hammonton, NJ 08037-1845 | 2020-10-23 |
| 1770193757 | Rvl Pharmacy | Pharmacy | 2500 Main St Ste 10, Sayreville, NJ 08872-1473 | 2020-08-05 |
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1891303616 | Amwell Pharmacy Inc. | Pharmacy | 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 | 2020-07-17 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982237103 | Holmdel Pharmacy and Deli LLC | Pharmacy | 487 Middle Rd, Hazlet, NJ 07730-2426 | 2020-02-17 |
| 1184254575 | Frrx LLC | Pharmacy | 76 W Gilbert St, Tinton Falls, NJ 07701-4918 | 2020-01-24 |
| 1841820388 | Ewing Pharmacy LLC | Pharmacy | 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 | 2020-01-23 |
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| 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.