PENNSYLVANIA CVS PHARMACY, L.L.C.


Address: 456 N 5th St, Philadelphia, PA 19123
Phone: 2155920104

PENNSYLVANIA CVS PHARMACY, L.L.C. (NPI# 1750874517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750874517
Entity Type Organization
Organization Name PENNSYLVANIA CVS PHARMACY, L.L.C.
Other Organization Name CVS PHARMACY #17732
Practice Address 456 N 5th St
Philadelphia
PA 19123
Mailing Address 1 Cvs Dr
Woonsocket
RI 02895-6146
Practice Telephone 2155920104
Mailing Telephone 4017651500
Enumeration Date 2018-06-07
Last Update Date 2018-06-22
Authorized Official Name SUSAN F COLBERT (SR. DIRECTOR PAYER RELATIONS)
Authorized Official Telephone 4017702751
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Cvs Pharmacy #17732 Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1275851271 Pennsylvania Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 3930 W Chester Pike, Newtown Square, PA 19073-3209 2010-05-14

Office Location

Street Address 456 N 5TH ST
City PHILADELPHIA
State PA
Zip Code 19123

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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

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NPI Name Taxonomy Address Enumeration
1912536517 Hsjc LLC Pharmacy 4165 N Franklin St, Philadelphia, PA 19140-2207 2020-04-06
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
1346883451 Dragon Pharmacy 99, LLC Pharmacy 2842 Saint Vincent St Unit A2, Philadelphia, PA 19149-1454 2019-10-21
1609417070 Sdarbouze Apothecary Inc. Pharmacy 5751 N Broad St Ste 3, Philadelphia, PA 19141-2302 2019-10-07
1912550575 Shwartz Rx 5610 Inc. Pharmacy 5610 Lancaster Ave Ste 200, Philadelphia, PA 19131-3440 2019-07-22
1487112405 Sunray Chester LLC Pharmacy 5518 Chester Ave, Philadelphia, PA 19143-5328 2019-03-08
1669954210 Wellmart Pharmacy Inc. Pharmacy 2363 E Allegheny Ave, Philadelphia, PA 19134-4431 2018-08-30
1902383185 Tb Pharmacy Inc. Pharmacy 4931 N Broad St, Philadelphia, PA 19141-2215 2018-07-20
1154827103 Gilead Pharmacy Inc Pharmacy 1226 N 52nd St Fl 1, Philadelphia, PA 19131-4315 2018-03-30
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Competitor

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City PHILADELPHIA
Zip Code 19123

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Dataset Information

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.

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