NORTH CAROLINA CVS PHARMACY LLC (NPI# 1669575007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669575007 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #07584 |
| Practice Address |
855 Hanes Mall Blvd Winston Salem NC 27103-5526 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3367682888 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-08-13 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 6834 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3423910 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #07584 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1821465568 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3001 Hillsborough St, Suite 100, Raleigh, NC 27607-5434 | 2015-08-28 |
| 1437492246 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 N Sandhills Blvd, Aberdeen, NC 28315-2304 | 2013-03-29 |
| 1790022671 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 100 Grand Hill Pl, Holly Springs, NC 27540-4416 | 2013-01-11 |
| 1518202209 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1025 Nc 24-87, Cameron, NC 28326-6954 | 2012-12-06 |
| 1043588627 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1132 East Cutlar Crossing, Leland, NC 28451-6426 | 2011-12-09 |
| 1639456502 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7496 Rockfish Rd, Fayetteville, NC 28306-8076 | 2011-11-07 |
| 1003195801 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3001 Market Center Dr, Morrisville, NC 27560-7505 | 2011-08-10 |
| 1295026565 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2351 Us 70 Hwy, Swannanoa, NC 28778-8207 | 2011-04-21 |
| 1619270501 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13461 Nc Hwy 50, Surf City, NC 28445-6553 | 2010-12-15 |
| Street Address |
855 HANES MALL BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-5526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299109 | Sarah Margaret Griffin | Pharmacist | 855 Hanes Mall Blvd, Winston Salem, NC 27103-5526 | 2018-09-24 |
| 1699142992 | Cvs Pharmacy | Pharmacist | 855 Hanes Mall Blvd, Winston Salem, NC 27103-5526 | 2015-08-21 |
| 1831507391 | Scott Hockaday | Pharmacist | 855 Hanes Mall Blvd, Winston Salem, NC 27103-5526 | 2014-07-29 |
| 1841540408 | Samuel David Hiatt | Pharmacist | 855 Hanes Mall Blvd, Winston Salem, NC 27103 | 2012-09-11 |
| 1467701128 | Nana Addo | Pharmacist | 855 Hanes Mall Blvd, Winston Salem, NC 27103-5526 | 2012-09-09 |
| 1649565037 | Thomas Adam Edwards | Pharmacist | 855 Hanes Mall Blvd, Winston Salem, NC 27103-5526 | 2011-06-14 |
| 1891080636 | John R Setzer | Pharmacist | 855 Hanes Mall Blvd, Winston Salem, NC 27103-5526 | 2011-06-09 |
| 1528352713 | Rachel Moore Hupfeld | Pharmacist | 855 Hanes Mall Blvd, Winston Salem, NC 27103-5526 | 2011-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1629618285 | Dalia Zaghlool | Pharmacy | 4353 Milhaven Park Ln, Winston Salem, NC 27106-4970 | 2020-01-12 |
| 1306270574 | Triad Choice Pharmacy | Pharmacy | 626 E Monmouth St, Winston Salem, NC 27107-3227 | 2013-08-23 |
| 1437448701 | Robinhood Family Pharmacy LLC | Pharmacy | 3443 Robinhood Rd Ste S, Winston Salem, NC 27106-4760 | 2011-04-07 |
| 1912147455 | Hospice Pharmacy Services Inc | Pharmacy | 3072 Trenwest Dr Ste A, Winston Salem, NC 27103-3219 | 2009-02-24 |
| 1447322235 | Tsca Inc | Pharmacy | 3719 Reynolda Rd, Winston Salem, NC 27106-2231 | 2006-11-15 |
| 1639241425 | Elbj Inc | Pharmacy | 1345 N Liberty St, Winston Salem, NC 27105-6625 | 2006-11-15 |
| 1780777110 | Jonestown Pharmacy, Inc | Pharmacy | 300 Jonestown Rd, Ste 5, Winston Salem, NC 27104-4621 | 2006-09-30 |
| 1871603407 | Costco Wholesale Corporation | Pharmacy | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2006-08-30 |
| 1376978999 | North Carolina Baptist Hospital | Pharmacy | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-09-13 |
| 1205261146 | Crisis Control Ministry Inc | Pharmacy | 200 E 10th St, Winston Salem, NC 27101-1512 | 2013-09-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on NORTH CAROLINA CVS PHARMACY 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.