NORTH CAROLINA CVS PHARMACY LLC (NPI# 1578666269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578666269 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #07030 |
| Practice Address |
5001 Country Club Rd Winston Salem NC 27104-4513 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3366590319 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-05 |
| 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 | 6835 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3426978 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #07030 | 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 |
5001 COUNTRY CLUB RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366086514 | Joshua Carter | Pharmacist | 5001 Country Club Rd, Winston Salem, NC 27104-4513 | 2019-10-31 |
| 1386106870 | Autumn Alexa Koniowka | Pharmacist | 5001 Country Club Rd, Winston Salem, NC 27104-4513 | 2019-04-03 |
| 1730637398 | Kyla Bussert | Pharmacist | 5001 Country Club Rd, Winston Salem, NC 27104-4513 | 2016-09-13 |
| 1679915185 | James Carl Hyatte | Pharmacist | 5001 Country Club Rd, Winston Salem, NC 27104-4513 | 2013-07-25 |
| 1972891828 | Leslie A Hewes | Pharmacist | 5001 Country Club Rd, Winston Salem, NC 27104-4513 | 2011-07-13 |
| 1619262219 | Kristen Mason | Pharmacist | 5001 Country Club Rd, Winston Salem, NC 27104-4513 | 2011-06-13 |
| 1831483080 | Mark Alan Kephart | Pharmacist | 5001 Country Club Rd, Winston Salem, NC 27104-4513 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| 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 |
|---|---|---|---|---|
| 1629618285 | Dalia Zaghlool | Pharmacy | 4353 Milhaven Park Ln, Winston Salem, NC 27106-4970 | 2020-01-12 |
| 1306270574 | Triad Choice Pharmacy | Pharmacy | 626 E Monmouth St, Winston Salem, NC 27107-3227 | 2013-08-23 |
| 1437448701 | Robinhood Family Pharmacy LLC | Pharmacy | 3443 Robinhood Rd Ste S, Winston Salem, NC 27106-4760 | 2011-04-07 |
| 1912147455 | Hospice Pharmacy Services Inc | Pharmacy | 3072 Trenwest Dr Ste A, Winston Salem, NC 27103-3219 | 2009-02-24 |
| 1447322235 | Tsca Inc | Pharmacy | 3719 Reynolda Rd, Winston Salem, NC 27106-2231 | 2006-11-15 |
| 1639241425 | Elbj Inc | Pharmacy | 1345 N Liberty St, Winston Salem, NC 27105-6625 | 2006-11-15 |
| 1780777110 | Jonestown Pharmacy, Inc | Pharmacy | 300 Jonestown Rd, Ste 5, Winston Salem, NC 27104-4621 | 2006-09-30 |
| 1871603407 | Costco Wholesale Corporation | Pharmacy | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2006-08-30 |
| 1376978999 | North Carolina Baptist Hospital | Pharmacy | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-09-13 |
| 1205261146 | Crisis Control Ministry Inc | Pharmacy | 200 E 10th St, Winston Salem, NC 27101-1512 | 2013-09-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
Please comment or provide details below to improve the information on NORTH CAROLINA CVS PHARMACY 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.