OHIO CVS STORES LLC (NPI# 1548363252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548363252 |
| Entity Type | Organization |
| Organization Name | OHIO CVS STORES LLC |
| Other Organization Name | CVS PHARMACY #03340 |
| Practice Address |
15501 Detroit Ave Lakewood OH 44107-3851 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2166221761 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-09-07 |
| 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 |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 21-14600 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3604902 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03340 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639724487 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 6030 N Hamilton Rd, Westerville, OH 43081-1685 | 2019-08-08 |
| 1942797345 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1892 North High St, Columbus, OH 43210 | 2018-04-20 |
| 1922524859 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2104 S. Byrne Rd, Toledo, OH 43614 | 2017-08-22 |
| 1124575865 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 210 E Emmitt Ave, Waverly, OH 45690-1336 | 2016-09-09 |
| 1154721264 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10560 Sawmill Rd, Powell, OH 43065 | 2014-08-26 |
| 1043626138 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2210 West Tuscarawas St, Canton, OH 44708 | 2014-07-09 |
| 1033545991 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 3761 Massilon Rd, Green, OH 44685 | 2013-09-23 |
| 1225461874 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 212 E Wooster St, Bowling Green, OH 43402-2921 | 2013-08-19 |
| 1477844926 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1130 Lincoln Way East, Massillon, OH 44646 | 2011-05-02 |
| 1922398437 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 7292 Fulton Dr Nw, Canton, OH 44718-1525 | 2011-04-18 |
| Street Address |
15501 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827157 | Nathan Alan Lieb | Pharmacist | 15501 Detroit Ave, Lakewood, OH 44107-3851 | 2020-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| 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 |
|---|---|---|---|---|
| 1073914388 | Capital Rx LLC | Pharmacy | 1985 Swarthmore Ave, Lakewood, NJ 08701-4554 | 2014-09-07 |
| 1053628115 | Usp Belmar Inc | Pharmacy | 8015 W Alameda Ave Ste 100, Ste 100, Lakewood, CO 80226-3075 | 2010-09-09 |
| 1710126453 | Giant Turtle Pllc | Pharmacy | 11228 Bridgeport Way Sw, Lakewood, WA 98499-3003 | 2009-02-19 |
| 1902948623 | Emes Pharmacy LLC | Pharmacy | 258 Cedar Bridge Ave., Lakewood, NJ 08701 | 2007-02-12 |
| 1043374937 | Pharmacy Center Inc Dba Kings Pharmacy | Pharmacy | 251 2nd St, Lakewood, NJ 08701-3343 | 2006-12-22 |
| 1861574642 | Jefferson Center for Mental Health | Pharmacy | 9485 W Colfax Ave, Lakewood, CO 80215-3918 | 2006-10-20 |
| 1083716229 | Franciscan Health System | Pharmacy | 11315 Bridgeport Way Sw Ste A1087, Lakewood, WA 98499-3004 | 2006-09-01 |
| 1881609410 | Lakewood Apothecary and Natural Health Center Inc | Pharmacy | 130 Chautauqua Ave, Lakewood, NY 14750-1241 | 2006-07-30 |
| 1659386597 | Marc Glassman Inc | Pharmacy | 14861 Detroit Ave, Lakewood, OH 44107-3909 | 2006-07-29 |
| 1073559167 | Discount Drug Mart Inc | Pharmacy | 13123 Detroit Ave, Lakewood, OH 44107-2839 | 2006-06-20 |
| Find all providers in LAKEWOOD | ||||
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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.