CVS PHARMACY INC (NPI# 1700165594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700165594 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY INC |
| Other Organization Name | CVS PHARMACY #16318 |
| Practice Address |
202 Highway 332 W Lake Jackson TX 77566-4013 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 9792992330 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2016-08-09 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2131392 | 01 | |
| TX | 466776 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16318 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881217560 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4000 W Spring Creek Pkwy, Plano, TX 75024-5229 | 2020-05-28 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1891315412 | Cvs Pharmacy Inc | Pharmacy | 17977 Fm 529 Rd, Houston, TX 77095-1005 | 2020-04-23 |
| 1144855610 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3232 Meridiana Pkwy, Rosharon, TX 77583 | 2020-03-05 |
| 1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
| 1477183275 | Cvs Pharmacy Inc | Pharmacy | 4005 E 8th Pl, Denver, CO 80220-3942 | 2020-01-21 |
| 1750924262 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1933 Heritage Trace Pkwy, Fort Worth, TX 76177-0000 | 2019-10-28 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1477100386 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1915 Broadway St Ste 101, San Antonio, TX 78215-1133 | 2019-08-26 |
| 1750937066 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 Bailey Ranch Rd, Aledo, TX 76008 | 2019-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CVS Pharmacy Inc. | 1 Cvs Dr, Woonsocket, Rhode Island 02895-6146 |
| Street Address |
202 HIGHWAY 332 W |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812201 | Nathan Nguyen | Pharmacist | 202 Highway 332 W, Lake Jackson, TX 77566-4013 | 2020-08-18 |
| 1992137459 | Angelica Avila | Pharmacist | 202 Highway 332 W, T-0882, Lake Jackson, TX 77566-4013 | 2013-08-06 |
| 1356627210 | Samantha Diane Kibodeaux | Pharmacist | 202 Highway 332 W, Lake Jackson, TX 77566-4013 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| 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 |
|---|---|---|---|---|
| 1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
| 1205435138 | N.p. Consultants Viii, LLC | Pharmacy | 2115 Pleasanton Rd Ste 100, San Antonio, TX 78221-1300 | 2020-10-21 |
| 1619575362 | Ava Healthcare LLC | Pharmacy | 1600 W Louisiana St Ste 700, Mckinney, TX 75069-7881 | 2020-10-14 |
| 1174120562 | Medela Pharmacy Inc | Pharmacy | 6550 Mapleridge St Ste 200, Houston, TX 77081-4647 | 2020-10-08 |
| 1891392387 | Scriptdash Inc | Pharmacy | 475 State Highway 121 Byp Ste 150, Lewisville, TX 75067-8154 | 2020-10-07 |
| 1164037594 | Nanes Pharmacy LLC | Pharmacy | 17030 Nanes Dr Ste 105a, Houston, TX 77090-2503 | 2020-09-11 |
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1407469471 | Scriptdash Inc | Pharmacy | 6201 W Plano Pkwy Ste 400, Plano, TX 75093-4907 | 2020-08-28 |
| 1104439629 | Rxmed Pharmacy Pllc | Pharmacy | 502 N Valley Pkwy Ste 1a, Lewisville, TX 75067-3437 | 2020-08-25 |
| 1265045751 | Homecare Pharmacy LLC | Pharmacy | 8700 S Braeswood Blvd Ste B2, Houston, TX 77031-1338 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
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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.