PENNSYLVANIA CVS PHARMACY, L.L.C. (NPI# 1932203783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932203783 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 00558 |
| Practice Address |
1008 S Main St Scranton PA 18504-2104 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5703477339 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-08-05 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | PP 415099 L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER COMMERCIAL NUMBER | 3970642 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 00558 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189294 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1717 N 12th St Unit F, Philadelphia, PA 19122-2585 | 2019-05-14 |
| 1750874517 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 456 N 5th St, Philadelphia, PA 19123 | 2018-06-07 |
| 1972017671 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 141 West Lincoln Hwy, Exton, PA 19341 | 2017-11-17 |
| 1154833069 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1589 Fruitville Pike, Lancaster, PA 17601-4005 | 2017-11-01 |
| 1821513813 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2001 Pennsylvania Ave, Philadelphia, PA 19130-3823 | 2017-08-10 |
| 1497059463 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2363 Oregon Pike, Lancaster, PA 17601-4608 | 2011-01-05 |
| 1003118621 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 445 West Street Rd., Warminster, PA 18974 | 2010-12-02 |
| 1790091668 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 Oxford Valley Rd, Yardley, PA 19067 | 2010-08-30 |
| 1336451442 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2110 Spring Valley Rd, Lancaster, PA 17601-2427 | 2010-07-06 |
| 1730400953 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 130 Schuylkill Rd, Phoenixville, PA 19460-2232 | 2010-06-22 |
| Street Address |
1008 S MAIN ST |
| City | SCRANTON |
| State | PA |
| Zip Code | 18504-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669641700 | Joshua Turel | Pharmacist | 1008 S Main St, Scranton, PA 18517-2104 | 2008-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141984 | Stephanie Weisel | Counselor | 228 South Main Street, Scranton, PA 18504 | 2019-12-20 |
| 1326517889 | Rebecca L Connor | Chiropractor | 2953 Frink Street, Scranton, PA 18504 | 2018-11-14 |
| 1598217028 | Fresenius Medical Care West Scranton, LLC | Clinic/Center | 321 Meridian Ave, Scranton, PA 18504 | 2016-11-01 |
| 1902296999 | Heart To Heart D/b/a Caring Matters Home Care | In Home Supportive Care | 118 South Main Avenue, Scranton, PA 18504 | 2015-01-28 |
| 1366846156 | Roy Gilgallon | Counselor | 431 Rear Wyoming Ave, Scranton, PA 18504 | 2014-10-22 |
| 1659706596 | Megan Oswald | Speech-Language Pathologist | 1024 Acker Ave, Scranton, PA 18504 | 2013-09-11 |
| 1912272261 | Shannon Ritterbusch | Occupational Therapist | 1252 Rundle, Scranton, PA 18504 | 2012-03-20 |
| 1407992761 | Vip Look Inc | Durable Medical Equipment & Medical Supplies | 455 N Main Ave, Scranton, PA 18504 | 2007-01-30 |
| 1073604443 | Patrick F Cioni | Counselor | 138 S Cameron Avenue, Scranton, PA 18504 | 2006-09-28 |
| 1104935808 | Vincent Luciano Ross | Pediatrics | 442 N Main Ave, Scranton, PA 18504 | 2006-08-29 |
| Find all providers in zip 18504 | ||||
| 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 |
|---|---|---|---|---|
| 1154607497 | Gerrity's Supermarket, Inc. | Pharmacy | 1782 N Keyser Ave, Scranton, PA 18508-1248 | 2011-11-01 |
| 1013149988 | Community Home Pharmacy Inc | Pharmacy | 975 Wheeler Ave, Scranton, PA 18510-1485 | 2009-08-11 |
| 1609948496 | Michael J Brislin | Pharmacy | 953 Prescott Ave, Scranton, PA 18510-1411 | 2006-11-15 |
| 1245302033 | Lepri-ruane Inc | Pharmacy | 2239 Pittston Ave, Scranton, PA 18505-3237 | 2006-11-15 |
| 1700986445 | V and F Drugs Inc | Pharmacy | 701 E Market St, Scranton, PA 18509-1228 | 2006-09-23 |
| 1972616969 | Price Chopper Operating Co of Pa Inc | Pharmacy | 1510 S Main Ave, Scranton, PA 18504-3216 | 2006-08-16 |
| 1083646004 | Giant Food Stores LLC | Pharmacy | 16001606 Nay Aug Avenue, Scranton, PA 18509 | 2006-07-07 |
| 1023087020 | Wegmans Food Markets, Inc | Pharmacy | 1315 Cold Spring Rd, Scranton, PA 18508-1113 | 2006-03-14 |
| 1376547398 | Allens Pharmacy Inc | Pharmacy | 402 Prescott Ave, Scranton, PA 18510-2399 | 2005-06-08 |
| 1205330388 | Valley Care Pharmacy 1 Inc | Pharmacy | 940 Jefferson Ave, Scranton, PA 18510-1007 | 2018-03-22 |
| Find all providers in SCRANTON | ||||
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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.