GOODYEAR CVS LLC (NPI# 1669576559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669576559 |
| Entity Type | Organization |
| Organization Name | GOODYEAR CVS LLC |
| Other Organization Name | CVS PHARMACY 03749 |
| Practice Address |
2840 N Dysart Rd Goodyear AZ 85395-2338 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6235365312 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-02-09 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Y03679 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0327367 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 03749 | Doing Business As Name - Organization |
| Street Address |
2840 N DYSART RD |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972040 | Hanah Elise Zehnder | Nurse Practitioner | 2840 N Dysart Rd, Goodyear, AZ 85395-2338 | 2020-11-03 |
| 1801441811 | Kevin Arthur Reckert | Pharmacist | 2840 N Dysart Rd, Goodyear, AZ 85395-2338 | 2019-08-06 |
| 1699299198 | Salah Osman | Pharmacist | 2840 N Dysart Rd, Goodyear, AZ 85395-2338 | 2017-07-27 |
| 1073926630 | Paul Grant Forsyth | Pharmacist | 2840 N Dysart Rd, Goodyear, AZ 85395-2338 | 2014-06-11 |
| 1134532278 | Tanya Moore | Pharmacist | 2840 N Dysart Rd, Goodyear, AZ 85395-2338 | 2014-06-06 |
| 1770996852 | Camille Harriday | Pharmacist | 2840 N Dysart Rd, Goodyear, AZ 85395-2338 | 2014-06-06 |
| 1518234475 | Elisabeth Young | Nurse Practitioner | 2840 N Dysart Rd, Goodyear, AZ 85395 | 2011-11-21 |
| 1487824660 | Lori Kay Liberator | Nurse Practitioner | 2840 N Dysart Rd, Goodyear, AZ 85395-2338 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| 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 |
|---|---|---|---|---|
| 1629392667 | Smiths Food & Drug Centers Inc | Pharmacy | 16380 W Yuma Rd, Goodyear, AZ 85338-3100 | 2010-03-19 |
| 1831425990 | Cigna Healthcare of Arizona Inc | Pharmacy | 14445 W Mcdowell Rd Ste A104, Goodyear, AZ 85395-2518 | 2009-10-26 |
| 1659500262 | Bashas' Inc. | Pharmacy | 9890 S. Estrella Parkway, Goodyear, AZ 85338-0000 | 2009-07-06 |
| 1386686814 | Smiths Food & Drug Centers Inc | Pharmacy | 390 N Litchfield Rd, Goodyear, AZ 85338-1224 | 2006-06-11 |
| 1588601009 | Albertsons LLC | Pharmacy | 409 N Litchfield Rd, Goodyear, AZ 85338-1311 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244861 | Canyonlands Community Healthcare | Pharmacy | 103 Fairgrounds Rd, Duncan, AZ 85534-8234 | 2020-10-26 |
| 1790384212 | Copilot Provider Support Services | Pharmacy | 8700 East Pinnacle Peak Road Ste 111, Johnson Bank Building, Scottsdale, AZ 85255-8525 | 2020-10-26 |
| 1366041501 | White Nile | Pharmacy | 4338 W Thomas Rd Unit E5, Phoenix, AZ 85031-3878 | 2020-10-20 |
| 1366050536 | Mariposa Community Health Center | Pharmacy | 1103 Circulo Mercado, Rio Rico, AZ 85648-6248 | 2020-07-14 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1952924847 | Cheryl Mackie | Pharmacy | 8010 E Mcdowell Rd Ste 201-206, Scottsdale, AZ 85257-3867 | 2020-05-26 |
| 1306472865 | Cordant Pharmacy Arizona, LLC | Pharmacy | 6641 E Baywood Ave Ste 101, Mesa, AZ 85206-1723 | 2020-03-17 |
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1811532609 | Nexus Patient Services | Pharmacy | 5080 N 40th St Ste 300, Phoenix, AZ 85018-2164 | 2019-11-15 |
| 1649813320 | Hi-health-rx LLC | Pharmacy | 15207 N 75th St Ste 105, Scottsdale, AZ 85260-2445 | 2019-10-24 |
| 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.