CVS PHARMACY INC (NPI# 1619071412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619071412 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY INC |
| Other Organization Name | CVS PHARMACY 07675 |
| Practice Address |
105 Harris Ave Red Oak TX 75154-4216 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9726170034 |
| Practice Fax Number | 9725764858 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2015-03-09 |
| 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 | 24917 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4580949 | 01 | |
| TX | 000463112 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 07675 | 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 |
105 HARRIS AVE |
| City | RED OAK |
| State | TX |
| Zip Code | 75154-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640733 | Ali Hyder Syed | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-18 |
| 1780295394 | Matthew Tran | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-17 |
| 1629689385 | Dennis Weiting Chen | Pharmacist | 105 Harris Ave, Red Oak, TX 75154-4216 | 2020-08-14 |
| 1407380363 | Bene Aneke | Nurse Practitioner | 105 Harris Ave, Red Oak, TX 75154-4216 | 2017-04-18 |
| 1598219222 | Barack Austine Otieno | Nurse Practitioner | 105 Harris Ave, Red Oak, TX 75154-4216 | 2016-08-10 |
| 1770960197 | Ruby Jamison | Nurse Practitioner | 105 Harris Ave, Red Oak, TX 75154-4216 | 2015-05-05 |
| 1831521426 | Courtney D Johnson | Nurse Practitioner | 105 Harris Ave, Red Oak, TX 75154-4216 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396204814 | Red Oak Smile Center Pllc | Dentist | 300 N Saraf Rd, Ste 108, Red Oak, TX 75154 | 2019-03-14 |
| 1316429392 | Zoe Frances Clement | Specialist/Technologist | 128 Hollie Dr, Red Oak, TX 75154 | 2018-09-05 |
| 1447758685 | Into Loving Hearts & Hands Home Care LLC | Technician | 735 Ashln, Red Oak, TX 75154 | 2018-01-23 |
| 1114442522 | Vista Specialty, LLC | Pharmacy | 600 Methodist St., Suite 1120, Red Oak, TX 75154 | 2017-08-07 |
| 1063945848 | Austin Blvd. Family Dentistry, P.C. | Dentist | 101 Austin Blvd., Ste 100, Red Oak, TX 75154 | 2017-04-07 |
| 1609317148 | Anthony L Strauder | Nurse Anesthetist, Certified Registered | 111 Schley Rd, Red Oak, TX 75154 | 2017-03-16 |
| 1356881668 | Elledge Counseling Associates | Counselor | 328 Pebblebrook, Glenn Heights, TX 75154 | 2017-03-06 |
| 1952840787 | Nathanael Barnes | Nurse Anesthetist, Certified Registered | 100 Country Ridge Ct, Red Oak, TX 75154 | 2017-02-13 |
| 1366802589 | Quicktime Fitness | Chiropractor | 2506 Ovilla Road, Suite B, Red Oak, TX 75154 | 2016-03-01 |
| 1366751919 | Chester Copeland Jr. | Technician/Technologist | 204 London Lane, Glenn Heights, TX 75154 | 2010-09-30 |
| Find all providers in zip 75154 | ||||
| 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 |
|---|---|---|---|---|
| 1730252065 | Brookshire Grocery Company | Pharmacy | 102 E Ovilla Rd, Red Oak, TX 75154-2459 | 2006-11-16 |
| 1033635560 | Devoir Pharmacy LLC | Pharmacy | 205 S Main St Ste 1010, Red Oak, TX 75154-4664 | 2017-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
| 1205435138 | N.p. Consultants Viii, LLC | Pharmacy | 2115 Pleasanton Rd Ste 100, San Antonio, TX 78221-1300 | 2020-10-21 |
| 1619575362 | Ava Healthcare LLC | Pharmacy | 1600 W Louisiana St Ste 700, Mckinney, TX 75069-7881 | 2020-10-14 |
| 1174120562 | Medela Pharmacy Inc | Pharmacy | 6550 Mapleridge St Ste 200, Houston, TX 77081-4647 | 2020-10-08 |
| 1891392387 | Scriptdash Inc | Pharmacy | 475 State Highway 121 Byp Ste 150, Lewisville, TX 75067-8154 | 2020-10-07 |
| 1164037594 | Nanes Pharmacy LLC | Pharmacy | 17030 Nanes Dr Ste 105a, Houston, TX 77090-2503 | 2020-09-11 |
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1407469471 | Scriptdash Inc | Pharmacy | 6201 W Plano Pkwy Ste 400, Plano, TX 75093-4907 | 2020-08-28 |
| 1104439629 | Rxmed Pharmacy Pllc | Pharmacy | 502 N Valley Pkwy Ste 1a, Lewisville, TX 75067-3437 | 2020-08-25 |
| 1265045751 | Homecare Pharmacy LLC | Pharmacy | 8700 S Braeswood Blvd Ste B2, Houston, TX 77031-1338 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
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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.