PENNSYLVANIA CVS PHARMACY LLC (NPI# 1760405054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760405054 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17165 |
| Practice Address |
288 Mount Nebo Pointe Rd Pittsburgh PA 15237-1317 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4125368201 |
| Practice Fax Number | 4125368201 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-12-16 |
| 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 |
PP481547 | PA | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2087669 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17165 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104356971 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 339 E Lancaster Ave, Wynnewood, PA 19096-1920 | 2017-06-14 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1578094751 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 Sumneytown Pike, Spring House, PA 19477 | 2017-03-21 |
| 1750832465 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 501 N 22nd St, Philadelphia, PA 19130-3507 | 2016-10-18 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1588030001 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1678 Susquehanna Rd, Dresher, PA 19025 | 2015-08-19 |
| 1114393063 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 259 Market St, Philadelphia, PA 19106-4502 | 2015-08-14 |
| 1467835546 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1650 Menoher Blvd, Johnstown, PA 15905-2000 | 2015-07-07 |
| 1548641178 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1040 W Chester Pike, West Chester, PA 19382-5003 | 2015-06-09 |
| Street Address |
288 MOUNT NEBO POINTE RD |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15237-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245463868 | Joni Jackson | Pharmacist | 288 Mount Nebo Pointe Rd, Pittsburgh, PA 15237-1317 | 2009-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701347 | Ann Elizabeth Patterson | Internal Medicine | 5700 Corporate Drive Suite 410, Pittsburgh, PA 15237 | 2019-10-14 |
| 1548801335 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 100 Ross Park Mall Dr, Suite A07a, Pittsburg, PA 15237 | 2019-10-02 |
| 1619529286 | Tracey Willis | Nurse Practitioner | 9101 Babcock Blvd, Pittsburgh, PA 15237 | 2019-07-12 |
| 1285295899 | Ahn Emerus Westmoreland LLC | General Acute Care Hospital | 8950 Duncan Ave, Pittsburg, PA 15237 | 2019-06-25 |
| 1295235745 | Lauren Wehr | Speech-Language Pathologist | 6000 Babcock Blvd Ste 103, Pittsburgh, PA 15237 | 2018-02-20 |
| 1497255822 | Christine Spera | Registered Nurse | 9100 Babcock Blvd Fl 2, Pittsburgh, PA 15237 | 2018-02-12 |
| 1790204295 | Cathy Reed | Nurse Practitioner | 8305 Mcknight Rd, Pittsburgh, PA 15237 | 2017-09-15 |
| 1184150005 | Jodie Elizabeth Luther | Dentist | 8035 Mcknight Rd Ste 201, Pittsburgh, PA 15237 | 2017-05-11 |
| 1811434905 | Hacer Diler | Physical Therapist | 7045 Bennington Woods Dr, Pittsburgh, PA 15237 | 2017-01-26 |
| 1174079305 | Preethi Kuknooru | Dentist | 1709 Teal Trce, Pittsburgh, PA 15237 | 2016-08-28 |
| Find all providers in zip 15237 | ||||
| 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 |
|---|---|---|---|---|
| 1346883881 | Blink Health Pharmacy LLC | Pharmacy | 3 Penn Ctr W Ste 320, Pittsburgh, PA 15276-0112 | 2019-10-28 |
| 1770140170 | Rx Partners, Inc. | Pharmacy | 1860 Centre Avenue, Pittsburgh, PA 15219-4369 | 2019-05-22 |
| 1194225318 | Upmc Presbyterian Shadyside | Pharmacy | 3507 Victoria St., Room 105, Pittsburgh, PA 15213 | 2018-02-14 |
| 1790163624 | Cigna Home Delivery Pharmacy | Pharmacy | 2000 Park Lane Dr, Pittsburgh, PA 15275-1114 | 2015-05-12 |
| 1659762524 | Pantherx Specialty LLC | Pharmacy | 24 Summit Park Dr Ste 101, Pittsburgh, PA 15275-1104 | 2015-02-12 |
| 1386902500 | Professional Specialized Pharmacies LLC | Pharmacy | 3125 Banksville Road, Pittsburgh, PA 15216 | 2012-04-25 |
| 1124318092 | Dormonts Hometown Pharmacy Inc | Pharmacy | 2897 W Liberty Ave, Pittsburgh, PA 15216-2619 | 2011-04-13 |
| 1568785129 | Western Pennsylvania Hospital | Pharmacy | 4800 Friendship Ave Ste 1422, Pittsburgh, PA 15224-1722 | 2010-03-10 |
| 1518194653 | Upmc Children's Hospital of Pittsburgh | Pharmacy | 1 Children's Hospital Drive, 4401 Penn Avenue, Pittsburgh, PA 15224 | 2009-06-16 |
| 1750525242 | Cl Cressler Inc | Pharmacy | 412 E Commons Ste 110, Pittsburgh, PA 15212-5310 | 2009-04-28 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15237 |
Please comment or provide details below to improve the information on PENNSYLVANIA 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.