ARIZONA CVS STORES LLC (NPI# 1518901867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518901867 |
| Entity Type | Organization |
| Organization Name | ARIZONA CVS STORES LLC |
| Other Organization Name | CVS PHARMACY 09207 |
| Practice Address |
865 E Grant Rd Tucson AZ 85719-2933 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5206224853 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR PHARMACY ENROLLMENTS) |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0353564 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 09207 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549181 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 24865 N Lake Pleasant Parkway, Peoria, AZ 85383-1280 | 2014-04-17 |
| 1285930164 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 5125 W Olive Ave, Glendale, AZ 85302-4213 | 2011-02-10 |
| 1780620831 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 305 E Brown Rd, Mesa, AZ 85201-3505 | 2006-06-20 |
| 1962448043 | Arizona Cvs Stores LLC | Pharmacy | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2006-06-20 |
| 1871539924 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 325 W Apache Trail, Apache Junction, Apache Junction, AZ 85120-3954 | 2006-06-20 |
| 1013952019 | Arizona Cvs Stores LLC | Pharmacy | 1555 S Avenue B, Yuma, AZ 85364-4584 | 2006-06-17 |
| 1245274596 | Arizona Cvs Stores LLC | Pharmacy | 3785 W Ina Rd, Tucson, AZ 85741-2247 | 2006-06-16 |
| 1972547222 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10720 W Bell Rd, Sun City, AZ 85351-1073 | 2006-06-16 |
| 1063456317 | Arizona Cvs Stores LLC | Pharmacy | 2090 E Fry Blvd, Sierra Vista, AZ 85635-2707 | 2006-06-16 |
| 1841234218 | Arizona Cvs Stores LLC | Pharmacy | 23215 N Pima Rd, Scottsdale, AZ 85255-4315 | 2006-06-16 |
| Street Address |
865 E GRANT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548706575 | Jacqueline Carrico | Pharmacist | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2017-01-14 |
| 1952851123 | Cvs | Pharmacist | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2016-10-11 |
| 1972971836 | Cvs Pharmacy | Pharmacy | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2015-09-09 |
| 1063814564 | John Hayes | Pharmacist | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2014-09-16 |
| 1114332830 | Megan Brandon | Pharmacist | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2014-06-23 |
| 1386062339 | Cvs Pharmacy | Pharmacy | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2014-04-06 |
| 1568715142 | Khanh Yen Callis | Pharmacist | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2012-10-19 |
| 1194033449 | Priscilla Lynn Watmore | Pharmacist | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| 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 |
|---|---|---|---|---|
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| 1447605175 | First Carerx LLC | Pharmacy | 1735 N 11th Ave, Tucson, AZ 85705-6527 | 2016-05-02 |
| 1063885747 | Gateway | Pharmacy | 421 E Drachman St, Tucson, AZ 85705-7445 | 2015-11-04 |
| 1811225352 | Vsr Healthcare, Incorporated | Pharmacy | 305 S Euclid Ave Ste 111, Tucson, AZ 85719-6649 | 2009-11-20 |
| 1356527279 | Bashas' Inc. | Pharmacy | 2000 E Irvington Rd, Tucson, AZ 85714-1809 | 2008-01-10 |
| 1255429866 | Bashas' Inc. | Pharmacy | 2000 W River Rd, Tucson, AZ 85704-1686 | 2006-10-10 |
| 1417045105 | Bashas' Inc. | Pharmacy | 6900 E Sunrise Dr, Tucson, AZ 85750-0830 | 2006-10-10 |
| 1720190713 | Bashas Inc | Pharmacy | 1221 W Irvington Rd, Tucson, AZ 85714-1167 | 2006-08-31 |
| 1750491452 | Costco Wholesale Corporation | Pharmacy | 6255 E Grant Rd, Tucson, AZ 85712 | 2006-08-30 |
| 1669582367 | Costco Wholesale Corporation | Pharmacy | 3901 W Costco Dr, Tucson, AZ 85741 | 2006-08-30 |
| Find all providers in TUCSON | ||||
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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.