PENNSYLVANIA CVS PHARMACY, L.L.C. (NPI# 1689993875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689993875 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 05890 |
| Practice Address |
3893 William Penn Hwy Monroeville PA 15146-2127 |
| Mailing Address |
1 Cvs Dr Box 1075- Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 4123724079 |
| Practice Fax Number | 4017707108 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | SUSAN F. COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PACE | 1689993875 | 01 | |
| PA | NCPDP | 3993878 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 05890 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189294 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1717 N 12th St Unit F, Philadelphia, PA 19122-2585 | 2019-05-14 |
| 1750874517 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 456 N 5th St, Philadelphia, PA 19123 | 2018-06-07 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1154833069 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1589 Fruitville Pike, Lancaster, PA 17601-4005 | 2017-11-01 |
| 1821513813 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2001 Pennsylvania Ave, Philadelphia, PA 19130-3823 | 2017-08-10 |
| 1497059463 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2363 Oregon Pike, Lancaster, PA 17601-4608 | 2011-01-05 |
| 1003118621 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 445 West Street Rd., Warminster, PA 18974 | 2010-12-02 |
| 1790091668 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 Oxford Valley Rd, Yardley, PA 19067 | 2010-08-30 |
| 1336451442 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2110 Spring Valley Rd, Lancaster, PA 17601-2427 | 2010-07-06 |
| 1730400953 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 130 Schuylkill Rd, Phoenixville, PA 19460-2232 | 2010-06-22 |
| Street Address |
3893 WILLIAM PENN HWY |
| City | MONROEVILLE |
| State | PA |
| Zip Code | 15146-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902827454 | Kathleen Mcewen | Nurse Practitioner | 3893 William Penn Hwy, Monroeville, PA 15146-2127 | 2006-07-21 |
| 1861092371 | Laura Gaines | Registered Nurse | 3893 William Penn Hwy, Monroeville, PA 15146-2127 | 2020-10-26 |
| 1063022580 | Michelle Guyaux | Nurse Practitioner | 3893 William Penn Hwy, Monroeville, PA 15146-2127 | 2020-08-10 |
| 1841817277 | Lauren Pawling | Pharmacist | 3893 William Penn Hwy, Monroeville, PA 15146-2127 | 2020-07-01 |
| 1083089783 | Amber Marie Grinnell | Nurse Practitioner | 3893 William Penn Hwy, Monroeville, PA 15146-2127 | 2015-12-07 |
| 1669864286 | Jacqueline Gattuso | Pharmacist | 3893 William Penn Hwy, Monroeville, PA 15146-2127 | 2015-02-19 |
| 1104159706 | Deborah Alexander | Nurse Practitioner | 3893 William Penn Hwy, Monroeville, PA 15146-2127 | 2009-09-14 |
| 1508014655 | Suzanne Marie Dugita | Nurse Practitioner | 3893 William Penn Hwy, Monroeville, PA 15146-2127 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217259 | Danielle Ulrich | Nurse Practitioner | 2626 Haymaker Road, Second Floor, Monroeville, PA 15146 | 2019-10-25 |
| 1659841286 | Catherine Mcewen Wilson | Social Worker | 339 Old Haymaker Road Suite 1102, Monroeville, PA 15146 | 2018-11-27 |
| 1750865432 | Diane Beth Alm | Dietitian, Registered | 2775 Mosside Boulevard Upmc East, Monroeville, PA 15146 | 2018-09-19 |
| 1477040673 | Kyle Hulsebus | Counselor | 339 Haymaker Rd Ste 1102, Monroeville, PA 15146 | 2018-04-13 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| 1801264163 | Danielle Wymard-tomlinson | Nurse Practitioner | 2570 Haymaker Rd Forbes Regional Hospital, Hospital Associates of Pittsburgh, Monroeville, PA 15146 | 2015-09-03 |
| 1902295421 | Andrea Kolano | Speech-Language Pathologist | 244 Center Road, Suite 205, Monroeville, PA 15146 | 2015-01-21 |
| 1366847592 | Grace Wagner | Counselor | 4314 Old William Penn Highway, Suite 204, Monroeville, PA 15146 | 2014-10-30 |
| 1093114001 | Stephanie Crishi | Speech-Language Pathologist | 4124 Monroeville Blvd, Monroeville, PA 15146 | 2014-08-14 |
| 1285052183 | Suzanne Oravetz | Specialist/Technologist | 2550 Mosside Boulevard, Monroeville, PA 15146 | 2014-03-29 |
| Find all providers in zip 15146 | ||||
| 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 |
|---|---|---|---|---|
| 1306995618 | Philen and Powell Inc | Pharmacy | 55 Mayfield St, Monroeville, AL 36460 | 2007-01-09 |
| 1194830117 | F & K Inc | Pharmacy | 1465a S Alabama Ave, Monroeville, AL 36460-3029 | 2006-08-20 |
| 1992710818 | Giant Eagle Inc | Pharmacy | 4010 Monroeville Blvd, Monroeville, PA 15146-2506 | 2006-07-29 |
| 1114324910 | West Penn Allegheny Health System Inc | Pharmacy | 2570 Haymaker Rd, Monroeville, PA 15146-3513 | 2014-11-24 |
| 1215088208 | Primary Care Pharmacy Services Inc | Pharmacy | 2550 Mosside Blvd, Ste 210, Monroeville, PA 15146-3540 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | MONROEVILLE |
| Zip Code | 15146 |
Please comment or provide details below to improve the information on PENNSYLVANIA CVS PHARMACY, L.L.C..
| 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.