PUERTO RICO CVS PHARMACY LLC (NPI# 1912263195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912263195 |
| Entity Type | Organization |
| Organization Name | PUERTO RICO CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 05677 |
| Practice Address |
1 Rexville Plz Ste 13 Bayamon PR 00957-4156 |
| Mailing Address |
1 Cvs Dr Box 1075- Pharmacy Enroll Woonsocket RI 02895-6146 |
| Practice Telephone | 7877972950 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | SUSAN COLBERT (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 |
|---|---|---|---|
| PR | NCPDP | 4028090 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 05677 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194268482 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8030 Calle Tartak, Carolina, PR 00979-5732 | 2016-11-18 |
| 1699229161 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | C1 Calle Parkside 4, Guaynabo, PR 00968-3305 | 2016-08-12 |
| 1275902371 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1901 Ave Rexach, San Juan, PR 00915 | 2015-09-18 |
| 1912381120 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6020 Ave Roberto Sanchez Vilella, Carolina, PR 00982-3707 | 2015-07-17 |
| 1275916959 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 374 Ave Ponce De Leon, San Juan, PR 00918-2024 | 2015-06-30 |
| 1437563350 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1307 Ave Ashford, San Juan, PR 00907-1325 | 2014-06-18 |
| 1891136255 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2511 Ponce Byp, Ponce, PR 00717-1314 | 2013-07-15 |
| 1316385800 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 60 Ave Los Dominicos, Toa Baja, PR 00949 | 2013-06-06 |
| 1841540101 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 178 Carr 2, Guaynabo, PR 00966-1808 | 2012-09-14 |
| 1922363027 | Puerto Rico Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 830 Carr 857, Carolina, PR 00987-2447 | 2012-07-05 |
| Street Address |
1 REXVILLE PLZ STE 13 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00957-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679968 | Carmen Abigail Ortiz I | Pharmacist | 1 Rexville Plz Ste 13, Bayamon, PR 00957-4156 | 2020-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809443 | Charles Alexander Castro Soto | Student in an Organized Health Care Education/Training Program | Calle 27 Gg-11 Urb. Cana, Bayamon, PR 00957 | 2020-04-03 |
| 1265063572 | Emilisse Francheska Ramos | Nutritionist | Urb. Los Dominicos, Calle San Agustin B43, Bayamon, PR 00957 | 2020-01-27 |
| 1659911188 | Vionette Pereira Torres | Optometrist | 500 Ave John Will Harris, Bayamon, PR 00957 | 2020-01-13 |
| 1073154860 | Rodriguez Carrer Md | General Practice | Urb Royal Gardens, Calle Esther Lote E-4, Bayamon, PR 00957 | 2019-10-02 |
| 1366093387 | Juana Rivera | Technician | Urb San Souci, G2 Calle 10, Bayamon, PR 00957 | 2019-09-20 |
| 1659921591 | Melissa Erazo | Technician/Technologist | Carr. 167 Urb. Riverview, Calle#36 Za-19, Bayamon, PR 00957 | 2019-09-12 |
| 1396391280 | Alivia Home Delivery, LLC | Pharmacy | 2 Ave Teniente Nelson Martinez, Urb Lomas Verdes, Bayamon, PR 00957 | 2019-08-15 |
| 1316405061 | Alexandra Rosado Betancourt | General Practice | G11 Calle Jerry Rivas Diaz, Urb Sta Monica, Bayamon, PR 00957 | 2019-03-12 |
| 1649734419 | Jesus Rene Rivera Rosa | Student in an Organized Health Care Education/Training Program | Calle 7 O-7 Urb Santa Monica, Bayamon, PR 00957 | 2019-01-25 |
| 1588136923 | Td Medical Services LLC | Durable Medical Equipment & Medical Supplies | B9 Sierra Linda Carr 681, Bayamon, PR 00957 | 2018-12-26 |
| Find all providers in zip 00957 | ||||
| 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 |
|---|---|---|---|---|
| 1346864055 | Alma Iris Berrios | Pharmacy | Bo. Hato Tejas, Carr.862 K.m. 1.9, Bayamon, PR 00959 | 2020-05-29 |
| 1760829899 | Farmacia Asturias LLC | Pharmacy | Ave. Ramon L. Rivera, Urb. Riverview, Bloq Za-6 Calle 36, Bayamon, PR 00961 | 2013-05-30 |
| 1508132994 | Pharma Express Mc Corp | Pharmacy | Calle 50-a Bloque 7 Suite #8 Royal Town, Bayamon, PR 00956 | 2012-03-29 |
| 1679760151 | Farmacia San Lazaro | Pharmacy | Ave. Santa Juanita Br6-br7, Santa Juanita, Bayamon, PR 00956-1616 | 2007-09-28 |
| 1306068846 | Julio Santos Garcia | Pharmacy | Carr 174 Esq Calle 10 Barrio Juan Sanchez, 153a, Bayamon, PR 00959 | 2007-05-03 |
| 1114051943 | Farmacia Guerrero Inc | Pharmacy | B2 Castiglioni Ave., Bayamon Gardens, Bayamon, PR 00957 | 2007-03-15 |
| 1215071915 | Mvc Sales Corp | Pharmacy | Calle 30 Uu 48 Sta Juanita, Bayamon, PR 00956-4789 | 2007-02-16 |
| 1346386901 | Hadi Haus Inc | Pharmacy | 6 Calle Parque, Bayamon, PR 00961-6218 | 2007-01-30 |
| 1437214244 | Barakah Two Thousand Drugs LLC | Pharmacy | Carr 862 Km 1.9, Calle Pajaros Hato Tejas, Bayamon, PR 00956 | 2006-12-22 |
| 1154421345 | Perez Menendez Hnos Inc | Pharmacy | As52 Calle 37, Bayamon, PR 00956-4742 | 2006-09-25 |
| Find all providers in BAYAMON | ||||
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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.