OHIO CVS STORES LLC (NPI# 1558383265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558383265 |
| Entity Type | Organization |
| Organization Name | OHIO CVS STORES LLC |
| Other Organization Name | CVS PHARMACY #16779 |
| Practice Address |
4825 Marburg Ave Unit A Cincinnati OH 45209-5013 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5136315717 |
| Practice Fax Number | 5136315717 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-10-05 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RTPC.022571200-0 | OH | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2078606 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16779 | 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 |
4825 MARBURG AVE UNIT A |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45209-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487014973 | Mcdonald Eyecare LLC | Optometrist | 4825 Marburg Ave Unit A, Cincinnati, OH 45209-5013 | 2016-02-26 |
| 1457725178 | Brett Menne | Pharmacist | 4825 Marburg Ave Unit A, Cincinnati, OH 45209-5013 | 2015-11-18 |
| 1396129110 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4825 Marburg Ave Unit A, Cincinnati, OH 45209-5013 | 2015-07-10 |
| 1346630845 | Jennifer Ratterman | Pharmacy Technician | 4825 Marburg Ave Unit A, Cincinnati, OH 45209-5013 | 2015-02-04 |
| 1891127551 | Basil John Sarantis | Pharmacist | 4825 Marburg Ave Unit A, Cincinnati, OH 45209-5013 | 2013-08-05 |
| 1275827024 | Eric Raymond Bertelsen | Pharmacist | 4825 Marburg Ave Unit A, T-1447, Cincinnati, OH 45209-5013 | 2011-06-08 |
| 1992099758 | Erica Miller | Pharmacist | 4825 Marburg Ave Unit A, Cincinnati, OH 45209-5013 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000661 | Rachel Elizabeth Haines | Counselor | 3805 Edwards Rd Suite 400, Cincinnati, OH 45209 | 2018-01-03 |
| 1346760162 | Michelle Piven | Social Worker | 3805 Edwards Road, Suite 400, Cincinnati, OH 45209 | 2017-06-22 |
| 1801265129 | Amanda Lanham | Speech-Language Pathologist | 3265 Madison Rd, Apt 309, Cincinnati, OH 45209 | 2015-09-16 |
| 1780941724 | Anthony Quintain Carnell | Family Medicine | 4631 Ridge Ave Ste B, Cincinnati, OH 45209 | 2012-04-16 |
| 1093002586 | Joseph Franzese | Obstetrics & Gynecology | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2011-07-05 |
| 1881891182 | Jongdae Suh | Radiology | 3827 Paxton Ave., 838, Cincinnati, OH 45209 | 2007-06-29 |
| 1144391178 | Mayfield Spine Center LLC | Clinic/Center | 4020 Smith Road, Norwood, OH 45209 | 2006-11-13 |
| 1194810234 | James R Hawkins Md & Associates | Counselor | 2727 Madison Road, Suite 303b, Cincinnati, OH 45209 | 2006-10-04 |
| 1104866003 | John R Schroder | Internal Medicine | 3805 Edwards Rd Ste 130, Cincinnati, OH 45209 | 2006-06-08 |
| 1811937782 | Stephen R Payne | Internal Medicine | 4631 Ridge Avenue, Cincinnati, OH 45209 | 2006-06-07 |
| Find all providers in zip 45209 | ||||
| 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 |
|---|---|---|---|---|
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1457858201 | Bethesda Hospital Inc | Pharmacy | 4623 Wesley Ave Ste N, Cincinnati, OH 45212-2272 | 2018-04-09 |
| 1386152783 | Tri State Urologic Services Psc, Inc | Pharmacy | 2000 Joseph E Sanker Blvd Ste 210, Suite 210, Cincinnati, OH 45212-1979 | 2018-01-19 |
| 1699803353 | Hughes Pharmacy Inc | Pharmacy | 210 E Sharon Rd, Cincinnati, OH 45246-4529 | 2007-03-02 |
| 1598802068 | Roselawn Pharmacy Inc | Pharmacy | 7601 Reading Rd, Cincinnati, OH 45237-3203 | 2007-01-31 |
| 1801932413 | Adrien Industries Inc | Pharmacy | 7023 Miami Ave, Cincinnati, OH 45243-2636 | 2007-01-30 |
| 1598849622 | William E Keuper | Pharmacy | 1829 W Galbraith Rd, Cincinnati, OH 45239-4848 | 2006-10-25 |
| 1952411589 | Costco Wholesale Corporation | Pharmacy | 9691 Waterstone Blvd, Cincinnati, OH 45249 | 2006-08-30 |
| 1275646499 | Tri-state Compounding Pharmacy LLC | Pharmacy | 7715 Beechmont Ave, Cincinnati, OH 45255-4203 | 2006-08-15 |
| 1043225048 | Walgreen Co | Pharmacy | 3500 Reading Rd, Cincinnati, OH 45229-2604 | 2006-07-29 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45209 |
Please comment or provide details below to improve the information on OHIO CVS STORES LLC.
| 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.