CVS EGL BASELINE TEMPE AZ LLC (NPI# 1912948951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912948951 |
| Entity Type | Organization |
| Organization Name | CVS EGL BASELINE TEMPE AZ LLC |
| Other Organization Name | CVS PHARMACY |
| Practice Address |
425 W Baseline Rd Tempe AZ 85283-1102 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4808200297 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CRISTIANA MAURICIO (MANAGER PHARMACY ENROLLMENTS) |
| Authorized Official Telephone | 4017702937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| X | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0354035 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY | Doing Business As Name - Organization |
| Street Address |
425 W BASELINE RD |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1780169979 | Medavail Pharmacy Inc. | Pharmacy | 715 S Forest Ave, Tempe, AZ 85281-3722 | 2018-10-03 |
| 1124391479 | Brighton Pharmacy LLC | Pharmacy | 1403 W 10th Pl Ste 119, Tempe, AZ 85281-5252 | 2012-02-17 |
| 1629173463 | German Dobson Cvs, L.L.C. | Pharmacy | 1424 W Baseline Rd, Tempe, AZ 85283-1118 | 2006-09-14 |
| 1992800734 | German Dobson Cvs, L.L.C. | Pharmacy | 1750 E Broadway Rd, Tempe, AZ 85282-1612 | 2006-09-14 |
| 1962506857 | German Dobson Cvs, L.L.C. | Pharmacy | 3303 S Rural Rd, Tempe, AZ 85282-5404 | 2006-09-12 |
| 1467467084 | Op Pharmacy LLC | Pharmacy | 3006 S Priest Dr, Tempe, AZ 85282-3400 | 2006-07-30 |
| 1437193786 | German Dobson Cvs, L.L.C. | Pharmacy | 802 S Mill Ave, Tempe, AZ 85281-5603 | 2006-06-16 |
| 1336519230 | Phxrx, LLC | Pharmacy | 4515 S Mcclintock Dr, Ste 210, Tempe, AZ 85282-7376 | 2015-10-05 |
| Find all providers in TEMPE | ||||
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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.