GEORGIA CVS PHARMACY LLC (NPI# 1649373408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649373408 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 03378 |
| Practice Address |
1520 Walton Way Augusta GA 30904-3702 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7067240598 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-05-29 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | GA | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 007647 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1139434 | 01 | |
| GA | 000567311A | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 03378 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548504343 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 441 Fair Rd, Statesboro, GA 30458-4913 | 2012-11-16 |
| 1528302403 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1520 Avenue Pl, Suite B-100, Atlanta, GA 30329-4015 | 2012-11-16 |
| 1710232913 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5900 Watson Blvd, Warner Robins, GA 31093-8669 | 2012-07-13 |
| 1811256605 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3674 Highway 5, Douglasville, GA 30135-2364 | 2012-05-14 |
| 1447528039 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1680 Old Pendergrass Rd, Jefferson, GA 30549-2701 | 2011-12-09 |
| 1437458593 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3595 Atlanta Hwy, Athens, GA 30606-3152 | 2011-03-15 |
| 1174771521 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5570 Roswell Rd, Sandy Springs, GA 30342-1861 | 2008-08-28 |
| 1083875173 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13055 Highway 9 N, Milton, GA 30004-5137 | 2008-06-20 |
| 1881870806 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5865 Spout Springs Rd, Flowery Branch, GA 30542-3448 | 2008-01-22 |
| 1033303961 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5950 State Bridge Rd, Duluth, GA 30097-6438 | 2007-09-04 |
| Street Address |
1520 WALTON WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700134509 | Meghan Federman | Pharmacist | 1520 Walton Way, Augusta, GA 30904-3702 | 2012-08-28 |
| 1962719823 | Sharon H May | Pharmacist | 1520 Walton Way, Augusta, GA 30904-3702 | 2010-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| 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 |
|---|---|---|---|---|
| 1487901476 | Au Medical Center, Inc. | Pharmacy | 1120 15th St # Bt1964, Augusta, GA 30912-0004 | 2012-08-08 |
| 1285924431 | T&j Enterprise LLC | Pharmacy | 1630 Ohio St, Augusta, KS 67010-2142 | 2011-04-08 |
| 1114012119 | Summerville Pharmacy | Pharmacy | 3087 Westwood Rd, Hani Mussad, Augusta, GA 30909 | 2006-10-04 |
| 1992800908 | Asklers Augusta Pharmacy N More Inc | Pharmacy | 108 South Webster, Augusta, MI 49012 | 2006-09-14 |
| 1861504706 | Maxwell House Pharmacy LLC | Pharmacy | 1002 Greene St, Augusta, GA 30901-2251 | 2006-08-31 |
| 1376558916 | Terese Inc | Pharmacy | 2529 Peach Orchard Rd, Augusta, GA 30906-2412 | 2006-07-30 |
| 1841222874 | Freds Stores of Tennessee Inc | Pharmacy | 1302 Highway 64 E, Augusta, AR 72006-9411 | 2006-07-07 |
| 1497791305 | Summerville Pharmacy Inc | Pharmacy | 2839 Central Ave, Augusta, GA 30909-3904 | 2006-06-20 |
| 1316987738 | Publix Super Markets Inc | Pharmacy | 2816 Washington Rd, Augusta, GA 30909-2199 | 2006-06-07 |
| 1881227601 | Janus Rx LLC | Pharmacy | 1721 Wrightsboro Rd, Augusta, GA 30904-4074 | 2020-02-20 |
| Find all providers in AUGUSTA | ||||
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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.