CVS PHARMACY INC (NPI# 1609970490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609970490 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY INC |
| Other Organization Name | CVS PHARMACY #07442 |
| Practice Address |
11300 N Lamar Blvd Austin TX 78753-2665 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5128356751 |
| Practice Fax Number | 2108337390 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | CRISTIANA MAURICIO (MGR PHCY ENROLLMENTS) |
| Authorized Official Telephone | 4017702937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 24701 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4565872 | 01 | |
| TX | 000462174 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #07442 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881217560 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4000 W Spring Creek Pkwy, Plano, TX 75024-5229 | 2020-05-28 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1891315412 | Cvs Pharmacy Inc | Pharmacy | 17977 Fm 529 Rd, Houston, TX 77095-1005 | 2020-04-23 |
| 1144855610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3232 Meridiana Pkwy, Rosharon, TX 77583 | 2020-03-05 |
| 1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
| 1477183275 | Cvs Pharmacy Inc | Pharmacy | 4005 E 8th Pl, Denver, CO 80220-3942 | 2020-01-21 |
| 1750924262 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1933 Heritage Trace Pkwy, Fort Worth, TX 76177-0000 | 2019-10-28 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1477100386 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1915 Broadway St Ste 101, San Antonio, TX 78215-1133 | 2019-08-26 |
| 1750937066 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 Bailey Ranch Rd, Aledo, TX 76008 | 2019-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CVS Pharmacy Inc. | 1 Cvs Dr, Woonsocket, Rhode Island 02895-6146 |
| Street Address |
11300 N LAMAR BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225011190 | Gloria C. Newton | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2005-11-23 |
| 1114532694 | Kai Zhang | Pharmacist | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2020-09-11 |
| 1922613652 | Rhea Ann Marie Conlu King | Pharmacist | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2020-09-10 |
| 1962037796 | Tina Kunnel | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2020-03-12 |
| 1558912485 | Sara Rodriguez | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2019-09-23 |
| 1285115980 | Nancy Duong | Registered Nurse | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2018-08-22 |
| 1477922557 | Alex Shadid | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753 | 2015-09-18 |
| 1154707289 | Esther Jepkoech Sitienei | Nurse Practitioner | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2015-07-30 |
| 1780913574 | Nicole Leigh Vondall | Physician Assistant | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2009-12-08 |
| 1558395020 | Melissa Anne Livingston | Physician Assistant | 11300 N Lamar Blvd, Austin, TX 78753-2665 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| 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 |
|---|---|---|---|---|
| 1518597780 | Docstation Inc. | Pharmacy | 2011 E 10th St, Austin, TX 78702-3409 | 2020-01-16 |
| 1528607157 | River City Pharmacy LLC | Pharmacy | 4150 Freidrich Ln Ste 1, Austin, TX 78744-1800 | 2019-12-30 |
| 1407345143 | Chemist Laboratory, LLC | Pharmacy | 3944 Ranch Road 620 S Bldg 6, Austin, TX 78738-6301 | 2018-05-08 |
| 1275030389 | Medlogs Inc. | Pharmacy | 2121 W Parmer Ln Ste 103c, #103c, Austin, TX 78727-4351 | 2018-04-06 |
| 1457857922 | Specialty Apothecary Group LLC | Pharmacy | 4515 Seton Center Pkwy Ste 175, Austin, TX 78759-5730 | 2018-04-03 |
| 1699295089 | Hgs Pharmacy LLC | Pharmacy | 9434 Parkfield Dr Ste A, Austin, TX 78758-6227 | 2017-06-26 |
| 1245765163 | Hhsc Wic Program | Pharmacy | 4616 W Howard Ln Ste 840, Austin, TX 78728-6300 | 2017-04-28 |
| 1285084467 | A.e. Pharmacy, LLC | Pharmacy | 220 Industrial Blvd Ste 100, Austin, TX 78745-1276 | 2016-06-17 |
| 1396194825 | Austin-travis County Mental Health and Mental Retardation | Pharmacy | 5015 S Interstate 35, Suite 200 C, Austin, TX 78744-2713 | 2016-06-06 |
| 1730537366 | Agape Force Solutions Inc | Pharmacy | 10401 Anderson Mill Rd Ste 112b, Austin, TX 78750-2579 | 2016-05-24 |
| Find all providers in AUSTIN | ||||
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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.