ARIZONA CVS STORES LLC (NPI# 1780620831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780620831 |
| Entity Type | Organization |
| Organization Name | ARIZONA CVS STORES LLC |
| Other Organization Name | CVS PHARMACY 09213 |
| Practice Address |
305 E Brown Rd Mesa AZ 85201-3505 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4808332986 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2014-12-23 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR PHARMACY ENROLLMENTS) |
| 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 |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0353590 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 09213 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549181 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 24865 N Lake Pleasant Parkway, Peoria, AZ 85383-1280 | 2014-04-17 |
| 1285930164 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 5125 W Olive Ave, Glendale, AZ 85302-4213 | 2011-02-10 |
| 1962448043 | Arizona Cvs Stores LLC | Pharmacy | 12409 N Tatum Blvd, Phoenix, AZ 85032-7708 | 2006-06-20 |
| 1871539924 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 325 W Apache Trail, Apache Junction, Apache Junction, AZ 85120-3954 | 2006-06-20 |
| 1013952019 | Arizona Cvs Stores LLC | Pharmacy | 1555 S Avenue B, Yuma, AZ 85364-4584 | 2006-06-17 |
| 1245274596 | Arizona Cvs Stores LLC | Pharmacy | 3785 W Ina Rd, Tucson, AZ 85741-2247 | 2006-06-16 |
| 1518901867 | Arizona Cvs Stores LLC | Pharmacy | 865 E Grant Rd, Tucson, AZ 85719-2933 | 2006-06-16 |
| 1972547222 | Arizona Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10720 W Bell Rd, Sun City, AZ 85351-1073 | 2006-06-16 |
| 1063456317 | Arizona Cvs Stores LLC | Pharmacy | 2090 E Fry Blvd, Sierra Vista, AZ 85635-2707 | 2006-06-16 |
| 1841234218 | Arizona Cvs Stores LLC | Pharmacy | 23215 N Pima Rd, Scottsdale, AZ 85255-4315 | 2006-06-16 |
| Street Address |
305 E BROWN RD |
| City | MESA |
| State | AZ |
| Zip Code | 85201-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284549 | Katherine Marie Leis | Pharmacist | 305 E Brown Rd, Mesa, AZ 85201-3505 | 2017-09-11 |
| 1427457118 | Keith Barron | Pharmacist | 305 E Brown Rd, Mesa, AZ 85201-3505 | 2014-08-19 |
| 1508278474 | Cvs Pharmacy | Pharmacist | 305 E Brown Rd, Mesa, AZ 85201-3505 | 2014-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| 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 |
|---|---|---|---|---|
| 1306472865 | Cordant Pharmacy Arizona, LLC | Pharmacy | 6641 E Baywood Ave Ste 101, Mesa, AZ 85206-1723 | 2020-03-17 |
| 1265899355 | Shree Ji Corporation | Pharmacy | 1245 E Southern Ave Ste 21, Mesa, AZ 85204-5156 | 2016-01-21 |
| 1346585411 | Quick Pharmacy 002 LLC | Pharmacy | 1105 N Mesa Dr, Mesa, AZ 85201-3502 | 2012-11-30 |
| 1497099089 | Pharmcareusa of Phoenix, LLC | Pharmacy | 4320 E Brown Rd Ste 106, Mesa, AZ 85205-4081 | 2012-11-20 |
| 1285876326 | Cigna Health Care of Arizona Inc | Pharmacy | 5735 E Mckellips Rd Ste 101, Mesa, AZ 85215-2875 | 2009-04-06 |
| 1578651360 | Bashas' Inc. | Pharmacy | 1122 N. Higley Rd., Mesa, AZ 85205 | 2006-10-10 |
| 1447348230 | Bashas Inc | Pharmacy | 6720 E Broadway Rd, Mesa, AZ 85206-1700 | 2006-10-10 |
| 1639281629 | Bashas Inc | Pharmacy | 9925 E Baseline Rd, Mesa, AZ 85209-8325 | 2006-08-31 |
| 1578673273 | Costco Wholesale Corporation | Pharmacy | 1444 S Sossaman Rd, Mesa, AZ 85209 | 2006-08-30 |
| 1528173549 | Bashas Inc | Pharmacy | 2864 N Power Rd, Mesa, AZ 85215-1675 | 2006-08-20 |
| Find all providers in MESA | ||||
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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.