CVS ALBANY LLC (NPI# 1609156074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609156074 |
| Entity Type | Organization |
| Organization Name | CVS ALBANY LLC |
| Other Organization Name | CVS PHARMACY# 05104 |
| Practice Address |
496 County Road 111 Building C Manorville NY 11949-3341 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 6313990324 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | SUSAN F COLBERT (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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03390214 | 05 | |
| NCPDP | 5803110 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY# 05104 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497385967 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1520 Forest Ave, Staten Island, NY 10302-2234 | 2020-01-23 |
| 1861053605 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 196 Orchard St, New York, NY 10002-5093 | 2019-06-24 |
| 1760963631 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 307 Middle Country Rd, Selden, NY 11784-2558 | 2018-08-28 |
| 1578044533 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 3536 Broadway, New York, NY 10031-5632 | 2018-08-27 |
| 1548747470 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 288 Saint Nicholas Ave, New York, NY 10027-4811 | 2018-07-24 |
| 1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1225546005 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 969 2nd Ave, New York, NY 10022-6303 | 2018-01-16 |
| 1447768247 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 87 Sunset Ave, Westhampton Beach, NY 11978-2324 | 2018-01-15 |
| 1669988473 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1760 5th Ave, Bay Shore, NY 11706-1739 | 2017-12-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Retail Food Store | CVS ALBANY LLC | RT 9W FAITH PLAZA RAVENA NY 12143 |
| Street Address |
496 COUNTY ROAD 111 BUILDING C |
| City | MANORVILLE |
| State | NY |
| Zip Code | 11949-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639107451 | Robert Galler | Neurological Surgery | 496 County Road 111, Building D, Manorville, NY 11949 | 2006-06-29 |
| 1386001725 | Kimberly Muzzonigro | Physician Assistant | 496 County Road 111, Building B, Manorville, NY 11949-3383 | 2016-01-15 |
| 1841683281 | Peconic Bay Medical Services, P.C. | Radiology | 496 County Road 111, Building F, Manorville, NY 11949-3383 | 2015-03-10 |
| 1518360536 | Jessica Petchonka | Physician Assistant | 496 County Road 111, Building B, Manorville, NY 11949-3383 | 2014-10-04 |
| 1679981401 | Elizabeth Ann Sanders | Physician Assistant | 496 County Road 111, Building B, Manorville, NY 11949 | 2014-07-24 |
| 1144553348 | Denise M Karavas | Physician Assistant | 496 County Road 111, Building B, Manorville, NY 11949-3341 | 2009-09-08 |
| 1821282054 | Robert Daniel Rubin | Pediatrics | 496 County Road 111, Bldg B, Manorville, NY 11949-3383 | 2007-08-30 |
| 1114133345 | Fox Dental PC Dba Pure Dental | Dentist | 496 County Road 111, Building F, Manorville, NY 11949 | 2007-05-15 |
| 1255455689 | Fang Chen | Internal Medicine | 496 County Road 111, Building B, Manorville, NY 11949-3383 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992270946 | Bethesda Elite Care Inc | Home Health | 3 Surrey Lane, Manorville, NY 11949 | 2018-10-05 |
| 1922303072 | Samantha Ann Martino | Licensed Practical Nurse | 20 North Street, Manorville, NY 11949 | 2011-01-21 |
| 1336449453 | Eastport South Manor School District | Local Education Agency (LEA) | 543 Moriches Middle Island Rd, Manorville, NY 11949 | 2010-10-22 |
| 1134439599 | Lori M. Franchi | Social Worker | 543 Moriches Middle Island Road, Manorville, NY 11949 | 2010-10-19 |
| 1952556706 | Dawn Marie Munoz | Developmental Therapist | 53 Manorview Way, Manorville, NY 11949 | 2008-11-20 |
| 1770704504 | Ka Lun Benny Chan | Pharmacist | 8 Long Road, Manorville, NY 11949 | 2007-05-01 |
| 1245374560 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 226 Eastport Manor Road, Manorville, NY 11949 | 2007-02-19 |
| 1891865721 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 221 N. Sunrise Service Rd., Manorville, NY 11949 | 2006-11-08 |
| 1043500655 | Peconic Bay Medical Center | General Acute Care Hospital | 3 Surrey Ln, Manorville, NY 11949 | 2011-04-15 |
| 1275836256 | Lisa Perrino Inc | Custodial Care Facility | 515 Chapman Blvd, Manorville, NY 11949 | 2010-12-13 |
| Find all providers in zip 11949 | ||||
| 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 |
|---|---|---|---|---|
| 1710035779 | King Kullen Pharmacies Corp | Pharmacy | 460 County Road 111, Manorville, NY 11949-3372 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758141 | North Shore Chemists LLC | Pharmacy | 800 Northern Blvd Ste 4, Great Neck, NY 11021-5314 | 2020-10-22 |
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | MANORVILLE |
| Zip Code | 11949 |
Please comment or provide details below to improve the information on CVS ALBANY 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.