PENNSYLVANIA CVS PHARMACY LLC (NPI# 1659565620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659565620 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17252 |
| Practice Address |
600 Hatton Dr Glen Mills PA 19342-3317 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6108089055 |
| Practice Fax Number | 6108089055 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2016-12-15 |
| Authorized Official Name | SUSAN COLBERT (SR. 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 |
PP481761 | PA | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2082041 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17252 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104356971 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 339 E Lancaster Ave, Wynnewood, PA 19096-1920 | 2017-06-14 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1578094751 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 Sumneytown Pike, Spring House, PA 19477 | 2017-03-21 |
| 1750832465 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 501 N 22nd St, Philadelphia, PA 19130-3507 | 2016-10-18 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1588030001 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1678 Susquehanna Rd, Dresher, PA 19025 | 2015-08-19 |
| 1114393063 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 259 Market St, Philadelphia, PA 19106-4502 | 2015-08-14 |
| 1467835546 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1650 Menoher Blvd, Johnstown, PA 15905-2000 | 2015-07-07 |
| 1548641178 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1040 W Chester Pike, West Chester, PA 19382-5003 | 2015-06-09 |
| Street Address |
600 HATTON DR |
| City | GLEN MILLS |
| State | PA |
| Zip Code | 19342-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083004667 | Tracy Michelle Helmke | Pharmacy Technician | 600 Hatton Dr, Glen Mills, PA 19342-3317 | 2015-02-03 |
| 1609266253 | John De Wolf | Pharmacy Technician | 600 Hatton Dr, Glen Mills, PA 19342-3317 | 2015-02-03 |
| 1912397712 | Morgan Mccarraher | Pharmacy Technician | 600 Hatton Dr, Glen Mills, PA 19342-3317 | 2015-01-31 |
| 1912397795 | Kate Scholtz | Pharmacy Technician | 600 Hatton Dr, Glen Mills, PA 19342-3317 | 2015-01-30 |
| 1821406612 | Jaclyn Renee Beckett | Pharmacist | 600 Hatton Dr, Glen Mills, PA 19342-3317 | 2014-07-24 |
| 1043544901 | Elizabeth Dowling Farina | Pharmacist | 600 Hatton Dr, Target Pharmacy, Glen Mills, PA 19342-3317 | 2009-09-25 |
| 1467683250 | Eileen Helen Cerami | Pharmacist | 600 Hatton Dr, Glen Mills, PA 19342-3317 | 2009-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038669 | Katherine Bilinski | Dietitian, Registered | 239 Winsor Court, Glen Mills, PA 19342 | 2018-10-03 |
| 1568969624 | Revathi Sangeetha Thirumaran | Nurse Anesthetist, Certified Registered | 24 Chamberlain Ct, Glen Mills, PA 19342 | 2018-04-06 |
| 1871098459 | Kristen Marie Rhodes | Counselor | 245 Bethel Road, Glen Mills, PA 19342 | 2018-03-27 |
| 1295256212 | Heart 2 Heart Home Care Agency | Home Health | 11 Mount Aire Farm Road, Glen Mills, PA 19342 | 2017-06-29 |
| 1285088385 | Christopher Clark | Occupational Therapist | 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 | 2016-04-15 |
| 1528439742 | Dental Professionals of Pennsylvania, PC | Dentist | 1751 Wilmington Pike, Suite F-2, F-3, Glen Mills, PA 19342 | 2015-10-14 |
| 1760853246 | Wegmans Food Markets, Inc. | Pharmacy | 100 Applied Bank Blvd, Glen Mills, PA 19342 | 2015-10-09 |
| 1508289893 | Mandy Fadakar | Pharmacist | 700 Evergreen Drive, Glenn Mills, PA 19342 | 2014-01-23 |
| 1073944476 | Amanda M Hoffman | Behavioral Analyst | 4 Mohawk Court, Glen Mills, PA 19342 | 2013-12-10 |
| 1235576075 | Sarah E Tonelli | Dermatology | 500 Evergreen Dr Ste 20, Glen Mills, PA 19342 | 2013-06-03 |
| Find all providers in zip 19342 | ||||
| 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 |
|---|---|---|---|---|
| 1760853246 | Wegmans Food Markets, Inc. | Pharmacy | 100 Applied Bank Blvd, Glen Mills, PA 19342 | 2015-10-09 |
| 1437320801 | Acme Markets Inc | Pharmacy | 101 Byers Dr, Glen Mills, PA 19342 | 2008-03-13 |
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|---|---|---|---|---|
| 1811506561 | Temple Community Pharmacy | Pharmacy | 3535 N 5th Street Hwy Ste 2, Reading, PA 19605-1703 | 2020-07-29 |
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | GLEN MILLS |
| Zip Code | 19342 |
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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.