NEW JERSEY CVS PHARMACY LLC (NPI# 1922020536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922020536 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16579 |
| Practice Address |
200 Promenade Blvd Bridgewater NJ 08807-3456 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 7328688360 |
| Practice Fax Number | 7328688360 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-08-18 |
| 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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8080801 | 05 | |
| PK | 2054272 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16579 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125684 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1570 Route 38, Lumberton, NJ 08048-2932 | 2019-10-11 |
| 1952959272 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2311 Route 206, Suite 600, Belle Mead, NJ 08502 | 2019-08-29 |
| 1821652611 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1200 Highway 35, Middletown, NJ 07748-2013 | 2019-04-26 |
| 1083183594 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 30 Belvidere Ave, Washington, NJ 07882-1415 | 2018-11-14 |
| 1568912558 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 457 Route 46, Rockaway, NJ 07866 | 2016-10-13 |
| 1336699321 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 29 Vervalen St, Closter, NJ 07624 | 2016-10-13 |
| 1821545435 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3503 Route 46, Parsippany, NJ 07054 | 2016-09-01 |
| 1841662103 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1801 State Route 71, Wall, NJ 07719-3227 | 2015-10-27 |
| 1720459936 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4251 U.S. Hwy 9, Howell, NJ 07731-3379 | 2015-10-14 |
| 1336519149 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Atlantic City Blvd, Beachwood, NJ 08722-2800 | 2015-10-06 |
| Street Address |
200 PROMENADE BLVD |
| City | BRIDGEWATER |
| State | NJ |
| Zip Code | 08807-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992340772 | Michael T Storch | Pharmacist | 200 Promenade Blvd, Bridgewater, NJ 08807-3456 | 2019-11-15 |
| 1891238341 | Jdn Vista LLC | Optometrist | 200 Promenade Blvd, Target Optical, Bridgewater, NJ 08807-3456 | 2016-11-30 |
| 1730635343 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 200 Promenade Blvd, Bridgewater, NJ 08807-3456 | 2016-09-01 |
| 1760858724 | Chandni Bardolia | Pharmacist | 200 Promenade Blvd, Bridgewater, NJ 08807-3456 | 2015-08-13 |
| 1023450251 | Gopi Padmanabhan | Pharmacist | 200 Promenade Blvd, Bridgewater, NJ 08807-3456 | 2013-07-30 |
| 1881971331 | Jigna Patel | Pharmacist | 200 Promenade Blvd, Bridgewater, NJ 08807-3456 | 2011-11-11 |
| 1689951352 | Bhavin Patel | Pharmacist | 200 Promenade Blvd, Bridgewater, NJ 08807-3456 | 2011-11-09 |
| 1952620528 | Joseph Bergondo | Pharmacist | 200 Promenade Blvd, Bridgewater, NJ 08807-3456 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
| 1689215600 | An Angel At Hand Inc. | Case Manager/Care Coordinator | 1200 Us Highway 22 East Suite 2000, Bridgewater, NJ 08807 | 2019-10-01 |
| 1407407877 | Advanced Dental Care At Bridgewater LLC | Clinic/Center | 678 Us 206 Building 5 Unit 8, Bridgewater, NJ 08807 | 2019-09-26 |
| 1619525201 | Marian Basaly | Pharmacist | 353 Us-202 #206, Bridgewater Township, NJ 08807 | 2019-08-28 |
| 1316509169 | Ashtin Elizabeth Helmer | Physician Assistant | 766 Us-206, Bridgewater Township, NJ 08807 | 2019-07-02 |
| 1770142770 | Lisa Farrington-rankins | Case Manager/Care Coordinator | 1200 Us Highway 22 Ste 2000, Bridgewater, NJ 08807 | 2019-06-12 |
| 1841753506 | Nj Support Services, LLC | Community/Behavioral Health | 726 Route 202 South, Suite 320-107, Bridgewater, NJ 08807 | 2019-04-10 |
| 1518434562 | Alyssa Olsen | Occupational Therapist | 377 Union Avenue, Bridgwater, NJ 08807 | 2018-10-29 |
| 1689151136 | Ask Transportation Services LLC | Non-emergency Medical Transport (VAN) | 991 Highway 22, Suite 200, Bridgewater, NJ 08807 | 2018-07-26 |
| 1114427069 | Jamie On Optometry LLC | Optometrist | Lenscrafters At Macys, 400 Commons Way, Bridgewater, NJ 08807 | 2018-02-16 |
| Find all providers in zip 08807 | ||||
| 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 |
|---|---|---|---|---|
| 1376512913 | Wegmans Food Markets, Inc. | Pharmacy | 724 Route 202, Attn: Pharmacy Manager, Bridgewater, NJ 08807-2551 | 2006-03-16 |
| 1487792974 | Independence Alive & Well Inc | Pharmacy | 509 N Main St, Bridgewater, VA 22812-1626 | 2007-02-05 |
| 1750488599 | Dicksons Drug Store | Pharmacy | 120 N Main St, Bridgewater, VA 22812-1336 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495544 | Medilink Rxcare Hammonton, LLC | Pharmacy | 44 S White Horse Pike, Hammonton, NJ 08037-1845 | 2020-10-23 |
| 1770193757 | Rvl Pharmacy | Pharmacy | 2500 Main St Ste 10, Sayreville, NJ 08872-1473 | 2020-08-05 |
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1891303616 | Amwell Pharmacy Inc. | Pharmacy | 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 | 2020-07-17 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982237103 | Holmdel Pharmacy and Deli LLC | Pharmacy | 487 Middle Rd, Hazlet, NJ 07730-2426 | 2020-02-17 |
| 1184254575 | Frrx LLC | Pharmacy | 76 W Gilbert St, Tinton Falls, NJ 07701-4918 | 2020-01-24 |
| 1841820388 | Ewing Pharmacy LLC | Pharmacy | 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 | 2020-01-23 |
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEWATER |
| Zip Code | 08807 |
Please comment or provide details below to improve the information on NEW JERSEY 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.