PENNSYLVANIA CVS PHARMACY, L.L.C. (NPI# 1952590481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952590481 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 03998 |
| Practice Address |
5122 Milford Rd. East Stroudsburg PA 18302 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 4017651500 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2014-09-12 |
| Authorized Official Name | CRISTIANA MAURICIO (MANAGER, PHARMACY ENROLLMENTS) |
| Authorized Official Telephone | 4017651500 |
| 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 |
|---|---|---|---|
| PA | 1015538870019 | 05 | |
| MEDICARE RR | P00754678 | 01 | |
| PA | COMMERCIAL NUMBER | 3989160 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 03998 | 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 |
5122 MILFORD RD. |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427414713 | Robert Slowik | Specialist/Technologist | 720 Sports Center Drive, Lexington, KY 18302 | 2016-01-03 |
| 1841608098 | Lieah Zavrid | Specialist/Technologist | 406 Roaring Brook Road, Analomink, PA 18302 | 2014-07-31 |
| 1598918674 | Barbara Lynn Vannortwick | Specialist | 303 Sleepy Hollow Estates, East Stroudsburg, PA 18302 | 2008-11-03 |
| 1609944008 | Bushkill Emergency Corps, Inc. | Ambulance | 3 Sterling Court, East Stroudsburg, PA 18302 | 2006-12-01 |
| 1881939619 | North Hunterdon Chiropractic & Wellness Center | Clinic/Center | 1630 Route 31 North, Clinton, NJ 18302 | 2012-12-05 |
| 1073687703 | Sibbering and Mielnicki, Assoc.,pc | Family Medicine | 5221 Milford Rd, East Stroudsburg, PA 18302 | 2006-11-17 |
| 1053703736 | Hardene Dezil-etienne | Registered Nurse | 353 Winona Lakes, East Stroudsburg, PA 18302-6620 | 2015-03-04 |
| 1427570654 | Beatrice Charles | Counselor | 3316 Doral Ct, East Stroudsburg, PA 18302-6660 | 2017-07-10 |
| 1922418540 | Esther Mortimer | Specialist | 545 Marco Way, East Stroudsburg, PA 18302-6693 | 2014-05-05 |
| 1538723671 | Bryan Smith | Counselor | 3203 Pine Valley Way, East Stroudsburg, PA 18302-6706 | 2019-04-24 |
| Find all providers in zip 18302 | ||||
| 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 |
|---|---|---|---|---|
| 1144631102 | East Brown Street Pharmacy, Inc | Pharmacy | 364 N Courtland St, Suite 2, East Stroudsburg, PA 18301-1930 | 2014-05-13 |
| 1104167253 | Cb Pharmacy Inc | Pharmacy | 5216 Milford Rd, Suit # 118, East Stroudsburg, PA 18302-8347 | 2013-03-13 |
| 1376576603 | Weis Markets Inc | Pharmacy | 695 N Courtland St, East Stroudsburg, PA 18301-1313 | 2006-07-09 |
| 1447772868 | Lehigh Valley Pharmacy Services-pocono | Pharmacy | 206 E Brown St, First Floor, East Stroudsburg, PA 18301-3006 | 2017-07-07 |
| 1609807676 | K Mart Corp | Pharmacy | 300 Lincoln Ave, East Stroudsburg, PA 18301-2815 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811506561 | Temple Community Pharmacy | Pharmacy | 3535 N 5th Street Hwy Ste 2, Reading, PA 19605-1703 | 2020-07-29 |
| 1487262614 | Hometown Rx Services | Pharmacy | 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 | 2020-07-14 |
| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | EAST STROUDSBURG |
| Zip Code | 18302 |
Please comment or provide details below to improve the information on PENNSYLVANIA CVS PHARMACY, L.L.C..
| 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.