NORTH CAROLINA CVS PHARMACY LLC (NPI# 1790216984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790216984 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #10863 |
| Practice Address |
2411 Landmark Drive Raleigh NC 27607 |
| Mailing Address |
1 Cvs Dr Box 1090 Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 9197884203 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | SUSAN COLBERT (SR. DR. 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 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #10863 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821465568 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3001 Hillsborough St, Suite 100, Raleigh, NC 27607-5434 | 2015-08-28 |
| 1437492246 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 N Sandhills Blvd, Aberdeen, NC 28315-2304 | 2013-03-29 |
| 1790022671 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 100 Grand Hill Pl, Holly Springs, NC 27540-4416 | 2013-01-11 |
| 1518202209 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1025 Nc 24-87, Cameron, NC 28326-6954 | 2012-12-06 |
| 1043588627 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1132 East Cutlar Crossing, Leland, NC 28451-6426 | 2011-12-09 |
| 1639456502 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7496 Rockfish Rd, Fayetteville, NC 28306-8076 | 2011-11-07 |
| 1003195801 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3001 Market Center Dr, Morrisville, NC 27560-7505 | 2011-08-10 |
| 1295026565 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2351 Us 70 Hwy, Swannanoa, NC 28778-8207 | 2011-04-21 |
| 1619270501 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13461 Nc Hwy 50, Surf City, NC 28445-6553 | 2010-12-15 |
| 1912200122 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6216 Battle Bridge Rd, Raleigh, NC 27610-1445 | 2010-12-09 |
| Street Address |
2411 LANDMARK DRIVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| 1366815854 | United Health Home Care Inc. | In Home Supportive Care | 7404 Chapel Hill Rd, Ste N, Raleigh, NC 27607 | 2015-11-05 |
| Find all providers in zip 27607 | ||||
| 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 |
|---|---|---|---|---|
| 1982050670 | Payless Pharmacies Inc | Pharmacy | 401 Glenwood Ave, Ste 101, Raleigh, NC 27603-1219 | 2016-05-11 |
| 1255720371 | Sembramtm, Inc. | Pharmacy | 4000 Blue Ridge Rd Ste 110, Raleigh, NC 27612-4650 | 2015-01-13 |
| 1881001311 | Triangle Home Infusions LLC | Pharmacy | 3434 Edwards Mill Rd Ste 100, Raleigh, NC 27612-4276 | 2014-07-16 |
| 1194169615 | Greystone Village Pharmacy Inc | Pharmacy | 7713 Lead Mine Rd Ste 37, Raleigh, NC 27615-4805 | 2013-04-26 |
| 1427395649 | James & Associates Inc | Pharmacy | 4111 New Bern Ave, Raleigh, NC 27610-1372 | 2013-01-08 |
| 1528359874 | Office Meds Management, Inc. | Pharmacy | 3004 Wake Forest Rd Ste 112-b, Raleigh, NC 27609-7874 | 2011-04-20 |
| 1346544293 | Johnson S Family Pharmacy LLC | Pharmacy | 7277 Nc Highway 42 Ste 208, Raleigh, NC 27603-7528 | 2011-01-07 |
| 1710059506 | Rx for Healthy Solutions, Inc | Pharmacy | 6635 Falls of Neuse Rd, Raleigh, NC 27615-6816 | 2006-11-15 |
| 1477651354 | Pharmacy Corporation of America | Pharmacy | 8431 Garvey Dr, Ste 109, Raleigh, NC 27616-3267 | 2006-09-21 |
| 1881704583 | Kerr Drug Inc A Delaware Company | Pharmacy | 3649 New Bern Ave, Raleigh, NC 27610-1232 | 2006-08-30 |
| Find all providers in RALEIGH | ||||
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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.